Jessie Brown, MSW
Individual provider Active NPI Clinical Social Worker · Covington, WA
NPI 1104580497 · NPPES record last updated Oct 24, 2021
Key facts
- NPI
- 1104580497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LW61131001 (WA)
- Practice address
- 15821 SE 252ND PL
Covington, WA 98042-4239 - Phone
- (206) 550-1400
- NPI assigned
- Oct 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW61131001 | WA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW61131001 | WA | Yes |
Addresses
Primary practice location
15821 SE 252ND PL
Covington, WA 98042-4239
Mailing address
15821 SE 252ND PL
Covington, WA 98042-4239
Phone (206) 550-1400
Other providers in Covington, WA
- Alexandra Marie Boyle
- Cheyenne Boyle
- Kristy Claire Braunston
- Matthew S Bremmer
- Bright Rose Afh LLC
- Nicholas Scott Brown
- Zarel Brown
- Lindell Marie Bruce
- Heather Bruns
- Buchanan Chiropractic, PLLC
All providers in Covington, WA · Clinical Social Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.