Jutta Elisabeth Ataie, PH.D., LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60152875 Issued in WA

Practice address

18017 Vashon Hwy SW
Vashon, WA 98070-5205

Phone

(206) 941-3851

NPI assigned

Aug 2, 2014

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406937600000",
    "number": "1285043331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13123 SW 196TH ST",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704805",
            "telephone_number": "206-941-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18017 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980705205",
            "telephone_number": "206-941-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATAIE",
        "first_name": "JUTTA",
        "middle_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D., LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-02",
        "last_updated": "2014-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60152875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Vashon, WA
• Providers in Vashon, 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 Aug 2, 2014; 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.