Amber Fawn Gentrysouthard, M.S.W, LICSW
Clinical Social Worker · Puyallup, WA
Amber Fawn Gentrysouthard, M.S.W, LICSW is a clinical social worker with a practice address in Puyallup, Washington, and NPI 1902079924, issued on Apr 10, 2008. Check the license (Washington LW 60072190, as entered in NPPES) with the Washington board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Amber Fawn Gentrysouthard
- Credential
- M.S.W, LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- LW 60072190 WA
Self-reported in NPPES; status is on the state search - Practice location
- 325 E Pioneer, Puyallup, WA 98372
- Phone
- (253) 445-8120
- Enumerated
- Apr 10, 2008
- Record last updated
- Apr 26, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (253) 697-3730
- Medicare enrollment
- Enrolled (PECOS I20120516000523); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 6,382 in Washington → Look up another NPI →
Also registered at 325 E Pioneer
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Safaa AbdellatifMental Health Counselor1497636948
- Amelia AbelloCounselor1881489110
- Lisa AdamsMental Health Counselor1093092710
- Nicolas AddisonMental Health Counselor1114433539
- Ian AlbrightMental Health Counselor1699172056
- Kenyatta AliceaCounselor1861895229
Verify Amber Fawn Gentrysouthard in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license LW 60072190Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Multicare Health SystemAuburn, WA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Amber Fawn Gentrysouthard among 6,382 clinical social worker records in Washington
Amber Fawn Gentrysouthard, M.S.W, LICSW is one of 6,382 clinical social worker records with a practice address in Washington. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 19% of them.
- NPI issued2008 · 19% of these records are older, 78% newer
- In a Medicare fileYes · 9% of these records are
- In the CMS Doctors and Clinicians fileYes · 15% of these records are
- Graduated2005 · median 2010 among the 984 with a school on file
- Record last updated2012 · 45% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
69 clinical social worker records list a practice address in Puyallup
They are 69 of the 3,461 NPPES records with a practice address in Puyallup, and 6,382 clinical social worker records in Washington.
All 6,382 in Washington → Every provider in Puyallup → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Bobbii Bateman, MSWPuyallup, WA 983721770626137
- Roza Bockelman, LICSW, CDPPuyallup, WA 983721013074954
- Frances Corn, MSWPuyallup, WA 983721821127432
- Karen Feller, MSWPuayllup, WA 983721306989819
- Cindy Johnson, MSWPuyallup, WA 983721821131335
- Mark JohnsonPuyallup, WA 983721518111442
- Monica JordanPuyallup, WA 983721568649861
- Yon Hee Jun, SWPuyallup, WA 983721497877922
Common questions
What is Amber Fawn Gentrysouthard, M.S.W, LICSW's NPI number?
Amber Fawn Gentrysouthard, M.S.W, LICSW's National Provider Identifier (NPI) is 1902079924, issued on Apr 10, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Amber Fawn Gentrysouthard, M.S.W, LICSW located?
The NPPES record lists a practice address at 325 E Pioneer, Puyallup, WA, 98372. Phone: (253) 445-8120. Providers update this record themselves, so call before visiting.
How can I verify Amber Fawn Gentrysouthard, M.S.W, LICSW's license?
NPPES lists Washington license number LW 60072190, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.