Individual provider Active NPI

Jolee N Darnell, PHD, LICSW

  • Clinical Social Worker
  • Fort Lewis, WA
National Provider Identifier
1346216520
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00005170 Issued in WA
Practice address
2008 N 3Rd Ave
Imlm HRS
Fort Lewis, WA 98433
Phone
(253) 477-3771
Fax
(253) 967-1199
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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 LW00005170 WA Primary

Addresses

Primary practice location

2008 N 3Rd Ave
Imlm HRS
Fort Lewis, WA 98433

Mailing address

6112 Shady LN SE
Lacey, WA 98503-3461
Phone (253) 477-3771

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LW00005170WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1346216520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 SHADY LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985033461",
            "telephone_number": "253-477-3771",
            "fax_number": "253-967-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 N 3RD AVE",
            "address_2": "IMLM HRS",
            "city": "FORT LEWIS",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-477-3771",
            "fax_number": "253-967-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARNELL",
        "first_name": "JOLEE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHD, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lewis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.