Individual provider Active NPI

Jennifer Stout-Willett, LICSW

  • Clinical Social Worker
  • Newport, WA
National Provider Identifier
1215423488
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60587149 Issued in WA
Practice address
714 W Pine St BLDG C
Newport, WA 99156-9046
Phone
(509) 447-3139
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60297508 WA
Clinical Social Worker 1041C0700X LW60587149 WA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

714 W Pine St BLDG C
Newport, WA 99156-9046

Mailing address

714 W Pine St
Newport, WA 99156-9046
Phone (509) 447-3139

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
I20230424002436 WA Practitioner - Clinical Social Worker 2860857935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pend Oreille County Public Hospital District No 1Group PAC ID 3274431184, shared by 5 NPIs, 31 clinicians

Practice addresses (Care Compare)

714 W Pine St
Newport, WA 99156-9046
Phone (509) 447-2441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP60297508WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pend Oreille County Public Hospital District No 1 Current Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Dec 4, 2025 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Mar 20, 2023 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Mar 20, 2023 Accepting new patients
Pend Oreille County Counseling Services Addiction (Substance Use Disorder) Past Accepting new patients
Pend Oreille County Counseling Services Addiction (Substance Use Disorder) Past Accepting new patients
Pend Oreille County Public Hospital District No 1 Past Accepting new patients

Locations

714 W Pine St
Bldg C
Newport, WA 99156
Phone (509) 447-3139

714 W Pine St
Newport, WA 99156
Phone (509) 447-2441

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pendoreilleco/r4/

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1215423488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W PINE ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569046",
            "telephone_number": "509-447-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W PINE ST BLDG C",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569046",
            "telephone_number": "509-447-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT-WILLETT",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60297508",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60587149",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, WA

Sources for this page

Verify at the official NPI Registry.