Gutierrez, Iris V

Gutierrez, Iris V is an sole proprietor health care provider with primary practice located at 1306 Versailles Rd Ste 120 , Lexington KY 40504-1795. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gutierrez, Iris V can be contacted via phone (859) 259-2635.

Contact Information

Primary practice address
1306 Versailles Rd Ste 120 Lexington KY 40504-1795
Phone: (859) 259-2635
Fax: (859) 254-7874
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 5078 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3769 Kentucky

Profile Details

NPI number 1104975465
LBN Legal business name Gutierrez, Iris V
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104975465 NPPES
Kentucky MEDICAID 7100274070

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