Jamie Elzea, MSW, MPH, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60403580 Issued in WA

Practice address

817 238TH St SE
Suite L
Bothell, WA 98021-4309

Phone

(206) 552-1247

NPI assigned

Jun 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1174904726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14618 47TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980871859",
            "telephone_number": "206-552-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 238TH ST SE",
            "address_2": "SUITE L",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980214309",
            "telephone_number": "206-552-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZEA",
        "first_name": "JAMIE",
        "credential": "MSW, MPH, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60403580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsie Kay Ellis, L.M.T.
• Kimberly S Ellis, P.T.
• Rebecca Ellsworth
• Cleopatra H Elrashidy, MSW, LSWAIC
• Kimberly L Eltringham, LMP
• Hanan Elzeibak, PTCB
• Taylor Elzinga Salgado
• Emerald City Nursing LLC
• Lindsay Emerson
• Kyana Emley

• Clinical Social Worker in Bothell, WA
• Providers in Bothell, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.