Individual provider Active NPI

Joshua Paul Henry Cutler, LICSW

  • Clinical Social Worker
  • Lynnwood, WA
National Provider Identifier
1104121771
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60535147 Issued in WA
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

Updated by the provider on Oct 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60535147WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.