Individual provider Active NPI

Jacoline K Stewartt, MSW

  • Social Worker
  • Bellevue, WA
National Provider Identifier
1154898229
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
60887108 Issued in WA
Practice address
13629 NE Bel Red Rd
Bellevue, WA 98005-4555
Phone
(206) 604-5959
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 60887108 WA Primary

Addresses

Primary practice location

13629 NE Bel Red Rd
Bellevue, WA 98005-4555

Mailing address

PO Box 276
Bellevue, WA 98009-0276
Phone (206) 604-5959

Other practice location 1

13629 NE Bel Red Rd
Bellevue, WA 98005-4555
Phone (206) 604-5959

Other practice location 2

13629 NE Bel Red Rd
Bellevue, WA 98005-4555
Phone (206) 604-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60887108WAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1154898229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980090276",
            "telephone_number": "206-604-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13629 NE BEL RED RD",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054555",
            "telephone_number": "206-604-5959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13629 NE Bel Red Rd",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980054555",
            "country_code": "US",
            "telephone_number": "206-604-5959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13629 NE Bel Red Rd",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980054555",
            "country_code": "US",
            "telephone_number": "206-604-5959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWARTT",
        "first_name": "JACOLINE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "60887108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.