Provider Demographics
NPI:1326400094
Name:GUTHMILLER, SEAN (LMSW)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:
Last Name:GUTHMILLER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4640 E 54TH ST
Mailing Address - Street 2:APT. 135
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-4451
Mailing Address - Country:US
Mailing Address - Phone:712-737-7110
Mailing Address - Fax:
Practice Address - Street 1:201 E 11TH ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-4436
Practice Address - Country:US
Practice Address - Phone:712-472-9605
Practice Address - Fax:712-264-9328
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA081505104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker