SARAH SELF GAUTREAUX MSW, LICSWA
NPI 1063829125
Social Worker in Lacey, WA

Q: What is Sarah Gautreaux's NPI number?

The NPI number for Sarah Gautreaux is 1063829125. It was assigned to this individual provider in the NPPES registry on July 21, 2014. The provider is also known as Scott Robert Self Msw.

Q: What is Sarah Gautreaux's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Gautreaux was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2014PECOS Enrolled

612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503(360) 754-1338 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sarah Self Gautreaux Msw, Licswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH SELF GAUTREAUX MSW, LICSWA (NPI 1063829125) is an individual social worker in Lacey, Washington and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1063829125

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSARAH SELF GAUTREAUXCredential: MSW, LICSWA

Location Address612 WOODLAND SQUARE LOOP SE STE 401Lacey, WA 98503

Mailing Address2922 Ruddell Rd Se Apt 29Lacey, WA 98503-7810 · (337) 315-1430

Phone(360) 754-1338

Sole ProprietorNo

Enumeration DateJuly 21, 2014

Last NPPES UpdateAugust 7, 2019

✔ NPI 1063829125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

612 WOODLAND SQUARE LOOP SE STE 401, Lacey, WA 98503

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Other Names 1

Former Name (1)Scott Robert Self Msw

Secondary Practice Location 1

Location 1908 5th Ave SEOlympia, WA 98501-1507 · Phone (360) 754-2423 · Fax (360) 357-2819

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Self Gautreaux Msw, Licswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSIDY MEYER

Counselor (Mental Health)