Jamie Brubaker McConnell, MHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61453627 Issued in WA

Practice address

4215 Olympic Blvd W
University Place, WA 98466-7538

Phone

(206) 979-4421

NPI assigned

Apr 6, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1033850771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 OLYMPIC BLVD W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984667538",
            "telephone_number": "206-979-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 OLYMPIC BLVD W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984667538",
            "telephone_number": "206-979-4421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9330 59th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984992858",
            "country_code": "US",
            "telephone_number": "253-581-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "JAMIE",
        "middle_name": "BRUBAKER",
        "credential": "MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60777491",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61453627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "LW61453627",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Finis L MC Coy
• Karen E McAllister
• Kirsten Laura McCall-Cruz, RN
• Paul John McCann
• Julie McCartney
• Kasandra Marie McCown
• Rita R. McGough, L.M.P.
• Samuel B McGuire
• Katie Ranae McLemore, ASSOCIATE LICSW
• McKinsey Jane McMahon

• Clinical Social Worker in University Place, WA
• Providers in University Place, 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 Jul 15, 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.