Provider Demographics
NPI:1891477139
Name:GUTIERREZ, OSWALDO (LCSW)
Entity Type:Individual
Prefix:
First Name:OSWALDO
Middle Name:
Last Name:GUTIERREZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8317 PARNELL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77051-1239
Mailing Address - Country:US
Mailing Address - Phone:281-840-7040
Mailing Address - Fax:
Practice Address - Street 1:8317 PARNELL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-1239
Practice Address - Country:US
Practice Address - Phone:281-840-7040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX686811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical