Active NPI
Jane Lyn Zerabruk, LSWA-IC
- Clinical Social Worker
- Lynnwood, WA
National Provider Identifier
1235813361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC61430592
- Practice address
- 16014 Ash Way
Lynnwood, WA 98087-8527 - Phone
- (425) 563-8575
- NPI assigned
- Jun 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC61430592 | WA | Primary |
Addresses
Primary practice location
16014 Ash Way
Lynnwood, WA 98087-8527
Mailing address
16014 Ash Way Apt 305
Lynnwood, WA 98087-8788
Phone (142) 556-3857
Other names 1
- Jane Kennedy
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
| License | State | Type | Specialty |
|---|---|---|---|
| SC61430592 | WA | MD | Clinical Social Worker |
Interoperability endpoints
- jane.zerabruk.p1@direct.valerahealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1235813361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16014 ASH WAY APT 305",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980878788",
"telephone_number": "142-556-3857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16014 ASH WAY",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980878527",
"telephone_number": "425-563-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERABRUK",
"first_name": "JANE",
"middle_name": "LYN",
"credential": "LSWA-IC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC61430592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "KENNEDY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.