Individual provider Active NPI

Joshua David Opatowsky, DSW, LCSW, LICSW

  • Clinical Social Worker
  • Everett, WA
National Provider Identifier
1801147038
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
80765 Issued in CA
Practice address
7347 Rainier Dr
Everett, WA 98203-5772
Phone
(661) 886-6046
NPI assigned
Sep 27, 2012
Last updated
Mar 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 192890 AK
Clinical Social Worker 1041C0700X 1451 WY
Clinical Social Worker 1041C0700X LW61233547 WA
Clinical Social Worker 1041C0700X 12022-C AR
Clinical Social Worker 1041C0700X 12784405-3501 UT
Clinical Social Worker 1041C0700X 6344 ND
Clinical Social Worker 1041C0700X 6272 OK
Clinical Social Worker 1041C0700X 80765 CA Primary

Addresses

Primary practice location

7347 Rainier Dr
Everett, WA 98203-5772

Mailing address

7347 Rainier Dr
Everett, WA 98203-5772
Phone (661) 886-6046

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
192890AKMDClinical Social Worker
12022-CARMDClinical Social Worker
80765CAMDClinical Social Worker
12784405-3501UTMDClinical Social Worker
LW61233547WAMDClinical Social Worker
1451WYMDClinical Social Worker
6344NDMDOrthodontics and Dentofacial Orthopedic Dentist
6272OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Springs Physician Group LLC PastSince Aug 1, 2019 Accepting new patients
Palo Alto Therapy a Licensed Clinical Social Worker Corporation Clinical PastSince Sep 1, 2021 Accepting new patients
Oakwood Springs, LLC PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1801147038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7347 RAINIER DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982035772",
            "telephone_number": "661-886-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7347 RAINIER DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982035772",
            "telephone_number": "661-886-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPATOWSKY",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-27",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "192890",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "1451",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61233547",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "12022-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12784405-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "6344",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6272",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80765",
            "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 Mar 25, 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.