Jeanette M Kraemer, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61533643 Issued in WA

Practice address

7522 221St PL SW
Edmonds, WA 98026-8029

Phone

(425) 775-4059

NPI assigned

Dec 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bluestone Psychological Services, LLC

  • Mental Health Counselor
  • Edmonds, WA
  • NPI 1811269624
  NPD (past)

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1003403395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 112TH ST SW APT B215",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982047868",
            "telephone_number": "425-534-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 221ST PL SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268029",
            "telephone_number": "425-775-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEMER",
        "first_name": "JEANETTE",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61533643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Kopyar, PHD CCCA
• Jenna Kay Koschmeder
• Karen G Kosik, MA, LMHC
• Mikaela Kozminski
• Matthew Sean Krabbendam, DNP
• Kenneth H Krichman, MD
• Kelcy Kriegel, DPT
• Kris Kim DDS PLLC
• Gurumeenal Krishnan, MD
• Kruger Clinic Orthopaedics, PLLC

• Clinical Social Worker in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.