Individual provider Active NPI

Jaime Michelle Jones, LSWAIC

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1114658374
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61492983 Issued in WA
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

Updated by the provider on Jun 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
61161811OtherWASOCIAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612003879 WA Practitioner - Clinical Social Worker 8022550466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61161811WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Aug 6, 2024 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.

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

Verify at the official NPI Registry.