Individual provider Active NPI

Jana Lee McCourtney, LCSW

  • Clinical Social Worker
  • Fort Eustis, VA
National Provider Identifier
1376732263
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00009441 Issued in WA
Practice address
McDonald Army Health Center
576 Jefferson Avenue
Fort Eustis, VA 23604
Phone
(757) 314-7558
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 LW00009441 WA Primary

Addresses

Primary practice location

McDonald Army Health Center
576 Jefferson Avenue
Fort Eustis, VA 23604

Mailing address

Madigan Army Medical Center 9040
Department of Social Work, Pip
Tacoma, WA 98431-0001

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW00009441WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Eastman, LCSW and Associates, Inc Clinical CurrentSince Sep 29, 2024 Accepting new patients

Locations

370 Wythe Creek Rd
#C
Poquoson, VA 23662
Phone (757) 868-0072

Interoperability endpoints

  • Direct secure messaging: jana.mccourtney.1@30520.direct.athenahealth.com

Organizations & group practices 1

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1376732263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER 9040",
            "address_2": "DEPARTMENT OF SOCIAL WORK, PIP",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCDONALD ARMY HEALTH CENTER",
            "address_2": "576 JEFFERSON AVENUE",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "23604",
            "telephone_number": "757-314-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOURTNEY",
        "first_name": "JANA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Eustis, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.