Provider Demographics
NPI:1427854181
Name:GUTTMAN, GABRIEL (LMSW)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:
Last Name:GUTTMAN
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:743 DEKALB AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-4627
Mailing Address - Country:US
Mailing Address - Phone:347-563-7186
Mailing Address - Fax:
Practice Address - Street 1:743 DEKALB AVE APT 4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-4627
Practice Address - Country:US
Practice Address - Phone:347-563-7186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124156104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker