Individual provider Active NPI

Cathlyn Marie Fraguela Rios, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1801272109
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60602622 Issued in WA
Practice address
3400 California Ave SW # 300
Seattle, WA 98116
Phone
(206) 320-3399
Fax
(206) 320-5506
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60602622 WA Primary
Social Worker 104100000X SC60343988 WA

Addresses

Primary practice location

3400 California Ave SW # 300
Seattle, WA 98116

Mailing address

8856 34TH Ave SW
Seattle, WA 98126-3727
Phone (765) 491-1415

Other identifiers 1

IdentifierTypeStateIssuer
1801272109MedicaidWA

Other names 1

  • Cathlyn Fraguela Other name

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

LicenseStateTypeSpecialty
SC60343988WAMDSocial Worker
LW60602622WAMDClinical Social Worker
105317CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hera Pathways PLLC CurrentSince May 14, 2023 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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1801272109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8856 34TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263727",
            "telephone_number": "765-491-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CALIFORNIA AVE SW # 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98116",
            "telephone_number": "206-320-3399",
            "fax_number": "206-320-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGUELA RIOS",
        "first_name": "CATHLYN",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60602622",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC60343988",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801272109",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHLYN",
            "last_name": "FRAGUELA",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.