Active NPI
Joel T Hellenkamp, MSW
- Clinical Social Worker
- Tacoma, WA
National Provider Identifier
1417006834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00004521
- Practice address
- 1404 N Cedar St
Tacoma, WA 98406-6424 - Phone
- (253) 752-6658
- NPI assigned
- Jan 9, 2007
- Last updated
- Nov 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HE4555 | Other | WA | REGENCE RIDER NUMBER |
| 127195100000 | Other | WA | PREMERA PROVIDER NUMBER |
| 0007559170 | Other | WA | AETNA'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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.