Individual provider Active NPI

Joel T Hellenkamp, MSW

  • Clinical Social Worker
  • Tacoma, WA
National Provider Identifier
1417006834
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004521 Issued in WA
Practice address
1404 N Cedar St
Tacoma, WA 98406-6424
Phone
(253) 752-6658
NPI assigned
Jan 9, 2007
Last updated
Nov 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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 LW00004521 WA Primary

Addresses

Primary practice location

1404 N Cedar St
Tacoma, WA 98406-6424

Mailing address

1404 N Cedar St
Tacoma, WA 98406-6424
Phone (253) 752-6658

Other identifiers 3

IdentifierTypeStateIssuer
HE4555OtherWAREGENCE RIDER NUMBER
127195100000OtherWAPREMERA PROVIDER NUMBER
0007559170OtherWAAETNA'S PROVIDER NUMBER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120827000457 WA Practitioner - Clinical Social Worker 5193972180 Practice locations: Tacoma, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1404 N Cedar St
Tacoma, WA 98406-6424
Phone (253) 752-6658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1417006834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 N CEDAR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984066424",
            "telephone_number": "253-752-6658",
            "fax_number": "253-752-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 N CEDAR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984066424",
            "telephone_number": "253-752-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLENKAMP",
        "first_name": "JOEL",
        "middle_name": "T",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER NUMBER",
            "identifier": "HE4555",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA PROVIDER NUMBER",
            "identifier": "127195100000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA'S PROVIDER NUMBER",
            "identifier": "0007559170",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.