Jill Newman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60220997 Issued in WA

Practice address

435 Martin St
Suite 2010
Blaine, WA 98230-4118

Phone

(360) 778-1423

NPI assigned

Dec 14, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Associates in Mental Health

  • Mental Health Counselor
  • Bellingham, WA
  • NPI 1689711319

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1418515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418515200000",
    "number": "1487052023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 ALLAN ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309823",
            "telephone_number": "206-390-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 MARTIN ST",
            "address_2": "SUITE 2010",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304118",
            "telephone_number": "360-778-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-14",
        "last_updated": "2014-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60220997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roma Bharat Nagin, M.D.
• Joo Yong Nam
• Kristy Faye Narkunas, LMP
• Aliya Nathani, PHARM.D.
• Leif Nesse
• Egerton Roy Nicholson, D.C.
• Sonja Gunilla Norden, PHARM.D.
• Ashlynn Northouse, CBT
• Tiffany Olliver, PTA
• Tamara Olson

• Clinical Social Worker in Blaine, WA
• Providers in Blaine, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.