Active NPI
Jessica Olstad
- Clinical Social Worker
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61349551
- Practice address
- 8719 S 113TH St Apt 101
Seattle, WA 98178-3300 - Phone
- (206) 556-7610
- NPI assigned
- Jun 20, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CO60275619 | WA | |
| Clinical Social Worker | 1041C0700X | LW61349551 | WA | Primary |
Addresses
Primary practice location
8719 S 113TH St Apt 101
Seattle, WA 98178-3300
Mailing address
8719 S 113TH St Apt 101
Seattle, WA 98178-3300
Phone (206) 556-7610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW61349551 | WA | MD | Clinical Social Worker |
| CO60275619 | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Clinical | Current | Accepting new patients |
| Valley Cities Counseling and Consultation | Current | Accepting new patients | |
| Sound | Past | Accepting new patients |
Locations
2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415
325 W Gowe St
Kent, WA 98032
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
221 Wells Ave S
Renton, WA 98057
Phone (206) 794-8109
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
Organizations & group practices 3
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
- Mountlake Terrace, WA
- NPI 1316238678
-
- Community/Behavioral Health Agency
- Kent, WA
- NPI 1972668853
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tukwila, WA
- NPI 1780774950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1386094407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8719 S 113TH ST APT 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981783300",
"telephone_number": "206-556-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8719 S 113TH ST APT 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981783300",
"telephone_number": "206-556-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSTAD",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "CO60275619",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61349551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.