Active NPI
Cathlyn Marie Fraguela Rios, LICSW
- Clinical Social Worker
- Seattle, WA
National Provider Identifier
1801272109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60602622
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801272109 | Medicaid | WA |
Other names 1
- Cathlyn Fraguela
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 |
|---|---|---|---|
| SC60343988 | WA | MD | Social Worker |
| LW60602622 | WA | MD | Clinical Social Worker |
| 105317 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hera Pathways PLLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1982393724
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.