Active NPI
Jaime Michelle Jones, LSWAIC
- Clinical Social Worker
- Bellingham, WA
National Provider Identifier
1114658374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61492983
- Practice address
- 4545 Cordata Pkwy Ste 1E
Bellingham, WA 98226-7264 - Phone
- (360) 752-5246
- Fax
- (360) 752-5678
- NPI assigned
- Jun 20, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW61492983 | WA | Primary |
| Clinical Social Worker | 1041C0700X | 61161811 | WA |
Addresses
Primary practice location
4545 Cordata Pkwy Ste 1E
Bellingham, WA 98226-7264
Mailing address
909 Harris Ave Ste 201D
Bellingham, WA 98225-7080
Phone (360) 734-0615
Other practice location 1
909 Harris Ave Ste 201D
Bellingham, WA 98225-7080
Phone (360) 734-0615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61161811 | Other | WA | SOCIAL WORKER ASSOCIATE INDEPENDENT CLINICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61161811 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients |
Locations
4545 Cordata Pkwy
Ste 1E
Bellingham, WA 98226
Phone (360) 752-5246
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
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.
-
- Internal Medicine Physician
- Bellingham, WA
- NPI 1356309553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1114658374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 HARRIS AVE STE 201D",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982257080",
"telephone_number": "360-734-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 CORDATA PKWY STE 1E",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982267264",
"telephone_number": "360-752-5246",
"fax_number": "360-752-5678"
}
],
"practiceLocations": [
{
"address_1": "909 Harris Ave Ste 201D",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982257080",
"country_code": "US",
"telephone_number": "360-734-0615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "JAIME",
"middle_name": "MICHELLE",
"credential": "LSWAIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-20",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61492983",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "61161811",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKER ASSOCIATE INDEPENDENT CLINICAL LICENSE",
"identifier": "61161811",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.