Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Sheared Gutierrez, LCSW

Individual provider Mental Health Counselor · NPI 1699121749

Jordan Sheared Gutierrez, LCSW is a Clinical Social Worker in San Diego, California. Qualified in 2016, 10 years ago. Practices with Monica Perlman MD Inc, a 352-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4065 3rd Ave
San Diego, CA 92103-2184
Phone: (619) 515-2419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW92666 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW74739 (CA)

Record details

NPI number1699121749
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 8, 2016
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Monica Perlman Md Inc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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