Individual provider Active NPI

Jason O'Ryan Arnold, LICSW

  • Clinical Social Worker
  • Lacey, WA
National Provider Identifier
1174758700
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61417096 Issued in WA
Practice address
4800 College St SE Ste F
Lacey, WA 98503-4389
Phone
(360) 458-7575
NPI assigned
May 27, 2009
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X WA
Clinical Social Worker 1041C0700X LW61417096 WA Primary

Addresses

Primary practice location

4800 College St SE Ste F
Lacey, WA 98503-4389

Mailing address

3300 Carpenter Rd SE Unit 101
Lacey, WA 98503-4003
Phone (360) 852-1202

Other practice location 1

3300 Carpenter Rd SE Unit 101
Lacey, WA 98503-4003
Phone (360) 852-1202

Other identifiers 1

IdentifierTypeStateIssuer
LW61417096OtherWAASWB

Other names 1

  • Mr. Jason O'Ryan Arnold Professional name

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
I20230713002630 WA Practitioner - Clinical Social Worker 9739549403 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61417096WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Wellness Springs Clinical CurrentSince Sep 28, 2025 Accepting new patients
Providence Health & Services Washington Mental Health Current Accepting new patients
Providence Health & Services Washington CurrentSince Jun 1, 2025 Accepting new patients
Western Psychological and Counseling Services LLC Mental Health Past Accepting new patients

Locations

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

4800 College St SE
Olympia, WA 98503
Phone (360) 456-7575

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1174758700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CARPENTER RD SE UNIT 101",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034003",
            "telephone_number": "360-852-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 COLLEGE ST SE STE F",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034389",
            "telephone_number": "360-458-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Carpenter Rd SE Unit 101",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985034003",
            "country_code": "US",
            "telephone_number": "360-852-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "JASON",
        "middle_name": "O'RYAN",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61417096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASWB",
            "identifier": "LW61417096",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "ARNOLD",
            "middle_name": "O'RYAN",
            "prefix": "MR.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.