Individual provider Active NPI

Jane Lyn Zerabruk, LSWA-IC

  • Clinical Social Worker
  • Lynnwood, WA
National Provider Identifier
1235813361
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61430592 Issued in WA
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

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
SC61430592WAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.