Active NPI
JPW Counseling & Consultation
- Clinical Social Worker
- Duluth, MN
National Provider Identifier
1063915239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JPW COUNSELING & CONSULTATION
- Practice address
- 302 W Superior St Ste 508
Duluth, MN 55802 - Phone
- (218) 260-9237
- NPI assigned
- Mar 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jake Pierce-Walsh, MSW, LICSW
- Title
- Owner/Provider
- Phone
- (218) 343-3406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
302 W Superior St Ste 508
Duluth, MN 55802
Mailing address
302 W Superior St Ste 508
Duluth, MN 55802-5115
Phone (218) 343-3406
National Provider Directory
National Provider DirectoryLocations
302 W Superior St
Ste 508
Duluth, MN 55802
Phone (218) 343-3406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539820800000",
"number": "1063915239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 W SUPERIOR ST STE 508",
"city": "DULUTH",
"state": "MN",
"postal_code": "558025115",
"telephone_number": "218-343-3406",
"fax_number": "218-409-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W SUPERIOR ST STE 508",
"city": "DULUTH",
"state": "MN",
"postal_code": "55802",
"telephone_number": "218-260-9237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JPW COUNSELING & CONSULTATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-14",
"last_updated": "2018-10-18",
"status": "A",
"authorized_official_last_name": "PIERCE-WALSH",
"authorized_official_first_name": "JAKE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "218-343-3406",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW, LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.