Active NPI
Joshua Paul Henry Cutler, LICSW
- Clinical Social Worker
- Lynnwood, WA
National Provider Identifier
1104121771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60535147
- Practice address
- 19723 Highway 99 Ste G
Lynnwood, WA 98036-6080 - Phone
- (833) 411-5469
- NPI assigned
- Jan 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LW60535147 | WA | |
| Clinical Social Worker | 1041C0700X | LW60535147 | WA | Primary |
Addresses
Primary practice location
19723 Highway 99 Ste G
Lynnwood, WA 98036-6080
Mailing address
800 5TH Ave
P100
Seattle, WA 98104-3176
Phone (206) 320-3351
Other practice location 1
800 5th Ave
P100
Seattle, WA 98104-3176
Phone (206) 320-3351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60535147 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gemini Clinical Associates PLLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Seattle, WA
- NPI 1710537154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1104121771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 5TH AVE",
"address_2": "P100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043176",
"telephone_number": "206-320-3351",
"fax_number": "206-554-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19723 HIGHWAY 99 STE G",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366080",
"telephone_number": "833-411-5469"
}
],
"practiceLocations": [
{
"address_1": "800 5th Ave",
"address_2": "P100",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981043176",
"country_code": "US",
"telephone_number": "206-320-3351",
"fax_number": "206-554-7787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUTLER",
"first_name": "JOSHUA",
"middle_name": "PAUL HENRY",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-12",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60535147",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60535147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.