Joseph Packard Cisneros, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60934582 Issued in WA

Practice address

500 5TH Ave
Seattle, WA 98104-2332

Phone

(925) 286-2753

NPI assigned

Aug 28, 2023

Sex

Male

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

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1780469783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9444 14TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981062811",
            "telephone_number": "925-286-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 5TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042332",
            "telephone_number": "925-286-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "JOSEPH",
        "middle_name": "PACKARD",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60934582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Cisewski, LMHCA
• Amy B. Cisler, OT
• Donna Beatriz Cisneros Ramirez
• Alfredo Cisneros
• Elizabeth Packard Cisneros, OTR/L
• Veronica Cisneros
• Wendy Cisneros
• Riley Troy Cissne
• Andrea Lauren Cistulli, DO
• Milo Citrino

• 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 Aug 28, 2023; 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.