Organization Active NPI

Natasha J Cutler, LCSW

  • Clinical Social Worker
  • Pocatello, ID
National Provider Identifier
1902357965
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 34676 Issued in ID
Legal business name
NATASHA J CUTLER, LCSW
Practice address
1070 Hiline Rd Ste 335
Pocatello, ID 83201-2955
Phone
(208) 681-9178
Fax
(208) 575-0474
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Deborah Arlene Goss
Title
Credentialing
Phone
(208) 221-1161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW 34676 ID Primary

Addresses

Primary practice location

1070 Hiline Rd Ste 335
Pocatello, ID 83201-2955

Mailing address

1070 Hiline Rd Ste 335
Pocatello, ID 83201-2955
Phone (208) 681-9178

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1902357965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 HILINE RD STE 335",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012955",
            "telephone_number": "208-681-9178",
            "fax_number": "208-575-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 HILINE RD STE 335",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012955",
            "telephone_number": "208-681-9178",
            "fax_number": "208-575-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATASHA J CUTLER, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "208-221-1161"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW 34676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.