Joseph Kim Myrick, LICSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC60271192 Issued in WA

Practice address

325 Pioneer Ave
Puyallup, WA 98372

Phone

(253) 697-8400

Fax

(253) 697-3730

NPI assigned

Dec 9, 2014

Last updated

Sep 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Fife, WA
  • NPI 1225282627
  Authorized official Same address or phone
• Recovery Innovations, Inc

  dba Ri International

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fife, WA
  • NPI 1659880078
  NPD
• Serenity Atlas Counseling LLC

  dba Serenity Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Fife, WA
  • NPI 1992560551
  NPD (past)

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1588062475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 PACIFIC HWY E STE 20",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242647",
            "telephone_number": "253-922-6522",
            "fax_number": "253-922-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PIONEER AVE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98372",
            "telephone_number": "253-697-8400",
            "fax_number": "253-697-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "JOSEPH",
        "middle_name": "KIM",
        "name_prefix": "Mr.",
        "credential": "LICSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-09",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00005499",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60271192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stormie Mwangi
• Anastasia Njambi Mwaura
• Kate Myers
• Kristen R Myers, PSYD, DRPH
• Cara Beth Myhre
• Carlie Robin Mzik, DNP
• Nader Family Chiropractic. Inc. (Nader Family Chiropractic)
• Heidi Nader
• Michael Stanley Nader, D.C.
• Robb K Nagata, MD

• Clinical Social Worker in Puyallup, WA
• Providers in Puyallup, 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 Sep 2, 2016; 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.

Verify at the official NPI Registry.