Active NPI
Nathalie Gauteron, LICSW
- Social Worker
- Everett, WA
National Provider Identifier
1487791687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW00006294
- Practice address
- 3901 Hoyt Ave
Everett, WA 98201-4988 - Phone
- (425) 304-8489
- Fax
- (425) 304-8449
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | LW00006294 | WA | |
| Social Worker | 104100000X | LW00006294 | WA | Primary |
Addresses
Primary practice location
3901 Hoyt Ave
Everett, WA 98201-4988
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 304-8489
Other practice location 1
918 Madison St
Everett, WA 98203-4542
Phone (425) 355-8668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00006294 | WA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeways | Social Worker | Past | 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": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1487791687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-304-8489",
"fax_number": "425-304-8449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 HOYT AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014988",
"telephone_number": "425-304-8489",
"fax_number": "425-304-8449"
}
],
"practiceLocations": [
{
"address_1": "918 Madison St",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982034542",
"country_code": "US",
"telephone_number": "425-355-8668",
"fax_number": "425-347-4188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAUTERON",
"first_name": "NATHALIE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WA",
"license": "LW00006294",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW00006294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.