Jennifer Croke Psychotherapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00009685 Issued in WA

Legal business name

JENNIFER CROKE PSYCHOTHERAPY, PLLC

Practice address

5120 Varco Rd NE
Tacoma, WA 98422-1808

Phone

(917) 975-7712

Fax

(253) 235-5236

NPI assigned

Oct 15, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Croke, LICSW

Title

Licsw

Phone

(917) 975-7712

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1326419466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 VARCO RD NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221806",
            "telephone_number": "917-975-7712",
            "fax_number": "253-235-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 VARCO RD NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221808",
            "telephone_number": "917-975-7712",
            "fax_number": "253-235-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CROKE PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "CROKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "917-975-7712",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "00009685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Jenkins
• Timothy Daniel Jenkins, M.D.
• Tremayne Antoine Jenkins
• Jennifer a Barrett DDS PLLC
• Jennifer Croke Psychotherapy
• Jennifer M Coates, PLLC
• Alicia Marie Jennings
• Amber Jennings, ARNP
• Kathryn M Jennings, RN
• Amanda Jensen

• 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 Feb 8, 2016; 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.