Catherine Elizabeth Southard

Primary specialty

Social WorkerTaxonomy code 104100000X

License

60840580 Issued in WA

Practice address

10322 NE 132ND St
Kirkland, WA 98034-2829

Phone

(425) 823-3116

Fax

(425) 820-9494

NPI assigned

Sep 10, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Traverse Therapy Services

  • Mental Health Counselor
  • Kirkland, WA
  • NPI 1306436274
  NPD Authorized official

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1265915813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 MADRONA AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031730",
            "telephone_number": "206-853-7364",
            "fax_number": "425-267-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10322 NE 132ND ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342829",
            "telephone_number": "425-823-3116",
            "fax_number": "425-820-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9930 Evergreen Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982043883",
            "country_code": "US",
            "telephone_number": "425-267-9573",
            "fax_number": "425-267-9062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 NE Gilman Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980272941",
            "country_code": "US",
            "telephone_number": "425-392-8468",
            "fax_number": "425-392-1792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6725 116th Ave NE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980338455",
            "country_code": "US",
            "telephone_number": "425-822-5095",
            "fax_number": "425-828-0454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 W Stewart Ste A",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983715164",
            "country_code": "US",
            "telephone_number": "253-840-8687",
            "fax_number": "253-848-9496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 SW 7th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980575216",
            "country_code": "US",
            "telephone_number": "206-248-4358",
            "fax_number": "425-430-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3315 S 23rd St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051615",
            "country_code": "US",
            "telephone_number": "253-272-2242",
            "fax_number": "253-272-0171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7935 Lake Ballinger Way",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980269166",
            "country_code": "US",
            "telephone_number": "425-670-3664",
            "fax_number": "425-672-6022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2815 Eastlake Ave E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981023086",
            "country_code": "US",
            "telephone_number": "206-341-9373",
            "fax_number": "206-341-9917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 45th St NE Ste C",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980021303",
            "country_code": "US",
            "telephone_number": "253-859-6436",
            "fax_number": "425-859-6436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "60840580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.