Jennifer Louise Medsker, LSWAIC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SC61444556 Issued in WA

Practice address

22 Front St Ste F
Coupeville, WA 98239-3443

Phone

(360) 672-8303

NPI assigned

Jul 3, 2023

Last updated

Jul 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenny Louise Medsker Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rising Phoenix Wellness Center, LLC

  • Clinical Social Worker
  • Coupeville, WA
  • NPI 1992261853
  NPD (past)

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1144907825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 ORIOLE ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773342",
            "telephone_number": "703-883-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FRONT ST STE F",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393443",
            "telephone_number": "360-672-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDSKER",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61444556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "MEDSKER",
            "middle_name": "LOUISE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark S Cichowski, MD (Whidbey Eye Center)
• Brittany Elizabeth Wheeler Marks, DPT
• Haley Merete Marx
• Kristen McCrae
• Katrina Gwen McGranahan
• Angela Marie Mercer, PA-C
• Tammy Merkley, RPH
• Lisa P Meserole, ND, MS
• Garth A Miller, MD
• Mary Miller, LMHC

• Social Worker in Coupeville, WA
• Providers in Coupeville, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.