Jaime Di Giovanna, MSW, LICSW, MHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61471389 Issued in WA

Practice address

1115 Tacoma Ave S
Tacoma, WA 98402-2005

Phone

(253) 213-3908

NPI assigned

Aug 28, 2019

Last updated

Jun 13, 2024By 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 2

Addresses

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.

• Therapeutic Health Services

  dba Shoreline Branch

  • Methadone Clinic
  • Shoreline, WA
  • NPI 1144312877

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1205484631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 S 44TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984182413",
            "telephone_number": "425-466-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 TACOMA AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022005",
            "telephone_number": "253-213-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI GIOVANNA",
        "first_name": "JAIME",
        "credential": "MSW, LICSW, MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61471389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Phan Deyoe, DO
• Kelly Jeane Deyoung, ARNP
• Lisa M Deyoung, A-GNP-C
• Dfas Attn:Dfasin/Jambf
• Nikita Dhungel
• Reagan Di Iorio
• Oliver Custodio Dia, RPH
• Nicholas Shaw Diacou, DO
• Oumou Toumani Diallo, M.D.
• Louis Andrew Diamond

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, 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 13, 2024; 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.