Individual provider Active NPI

Ohshue Gatanaga, MSW

  • Clinical Social Worker
  • Sammamish, WA
National Provider Identifier
1871329201
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61569406 Issued in WA
Practice address
22717 SE 29TH St Ste D-101
Sammamish, WA 98075-9532
Phone
(425) 269-3277
NPI assigned
Sep 11, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

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
SC61569406WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Connections, PLLC CurrentSince Nov 8, 2025 Accepting new patients
Centered Mind Counseling Services, PLLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

75 NW Dogwood St
Ste B
Issaquah, WA 98027
Phone (425) 269-3277

22717 SE 29th St
Ste D101
Sammamish, WA 98075
Phone (425) 269-3277

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC61569406 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

22717 SE 29TH St Ste D-101
Sammamish, WA 98075-9532

Mailing address

75 NW Dogwood St Ste B
Issaquah, WA 98027-3258
Phone (426) 269-3277

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2024.

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1871329201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NW DOGWOOD ST STE B",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273258",
            "telephone_number": "426-269-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22717 SE 29TH ST STE D-101",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759532",
            "telephone_number": "425-269-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATANAGA",
        "first_name": "OHSHUE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61569406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.