Jaynee Sue Burks, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60251048 Issued in WA

Practice address

12802 E Saltese Ave
Spokane Valley, WA 99216-0361

Phone

(509) 928-7882

Fax

(509) 928-7866

NPI assigned

Aug 13, 2012

Last updated

Aug 13, 2012By the provider in NPPES

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

Other names 1

• Jaynee Sue Koch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1548517261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 E SALTESE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160361",
            "telephone_number": "509-928-7882",
            "fax_number": "509-928-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 E SALTESE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160361",
            "telephone_number": "509-928-7882",
            "fax_number": "509-928-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "JAYNEE",
        "middle_name": "SUE",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60251048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYNEE",
            "last_name": "KOCH",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Burgerson
• Sara Kathryn Burgess
• Grace Lucille Burke, LMT
• John Richard Burke, DDS
• Ryan D Burklund, M.D.
• Oname Oro Burlingame, MD, PHD
• Lori Lynn Burnett, LMP
• Blaze J Burnham, ARNP
• Robert B Burr, PHD
• Katherine Grace Busch, MA, LMHCA, CDPT

• Clinical Social Worker in Spokane Valley, WA
• Providers in Spokane Valley, 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 Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.