Active NPI
Jana Lee McCourtney, LCSW
- Clinical Social Worker
- Fort Eustis, VA
National Provider Identifier
1376732263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00009441
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LW00009441 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Betty Eastman, LCSW and Associates, Inc | Clinical | Current | Accepting new patients |
Locations
370 Wythe Creek Rd
#C
Poquoson, VA 23662
Phone (757) 868-0072
Interoperability endpoints
- 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.
-
- Clinical Social Worker
- Poquoson, VA
- NPI 1164240305
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.