Amber Gentrysouthard, M.S.W, LICSW
NPI 1902079924 · Clinical Social Worker · Puyallup, WA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amber Gentrysouthard, M.S.W, LICSW is a Clinical Social Worker provider in Puyallup, WA (NPI 1902079924).
Provider details
- NPI number
- 1902079924
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- M.S.W, LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- LW 60072190 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-10
- Last updated
- 2012-04-26
Frequently asked questions
- What is Amber Gentrysouthard's NPI number?
- Amber Gentrysouthard's National Provider Identifier (NPI) is 1902079924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amber Gentrysouthard's specialty?
- Amber Gentrysouthard is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Amber Gentrysouthard located?
- Amber Gentrysouthard's practice location on file with NPPES is 325 E Pioneer, Puyallup, WA 98372-3265.
- What is Amber Gentrysouthard's phone number?
- The practice phone number listed in the NPPES registry for Amber Gentrysouthard is (253) 445-8120.
- Does Amber Gentrysouthard accept Medicare?
- Amber Gentrysouthard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amber Gentrysouthard's NPI active?
- Yes — Amber Gentrysouthard's NPI (1902079924) is active in the NPPES registry as of the last update on 2012-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.