Judith C Cantor, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00006144 Issued in WA

Practice address

2012 NE 65TH St
Seattle, WA 98115-6934

Phone

(206) 526-8137

Fax

(206) 367-0919

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Judith C Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1194898049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156934",
            "telephone_number": "206-526-8137",
            "fax_number": "206-367-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156934",
            "telephone_number": "206-526-8137",
            "fax_number": "206-367-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTOR",
        "first_name": "JUDITH",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "SMITH",
            "middle_name": "C",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexander Ortman Canova, MD
• Shelby Cansler
• Brittany Grace Levato Cantiello
• Janice Lynn Cantieri, MSW
• Shana Cantoni, PMHNP
• Leah Cantor
• Jerilyn Cantrall, LMT
• Alicia Cantrell, M.D.
• Ann C Cantrell
• Hannah Cantrell, DNP, ARNP, PMHNP

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.