Active NPI
Mary Allison Jensen, MSW
- Clinical Social Worker
- Tacoma, WA
National Provider Identifier
1013329549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60512890
- Practice address
- 4660 N Vassault St
Tacoma, WA 98407-1228 - Phone
- (360) 265-2037
- NPI assigned
- Jun 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 60512890 | WA | Primary |
Addresses
Primary practice location
4660 N Vassault St
Tacoma, WA 98407-1228
Mailing address
4660 N Vassault St
Tacoma, WA 98407-1228
Phone (360) 265-2037
Other names 1
- Mary Allison Brown
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.tacomawellnesscollective.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60512890 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Worthy Solutions LLC Dba Tacoma Wellness Collective | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Tacoma, WA
- NPI 1780335315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1013329549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 N VASSAULT ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984071228",
"telephone_number": "360-265-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 N VASSAULT ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984071228",
"telephone_number": "360-265-2037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "MARY ALLISON",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-02",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "60512890",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.tacomawellnesscollective.com",
"affiliation": "N",
"endpointDescription": "primary URL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4660 N Vassault St",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984071228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARY ALLISON",
"last_name": "BROWN",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.