Individual provider Active NPI

Jessica Lynn Day, M.S.W., LICSW

  • Clinical Social Worker
  • Everett, WA
National Provider Identifier
1588896773
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60958706 Issued in WA
Practice address
15 SW Everett Mall Way Ste a
Everett, WA 98204-2715
Phone
(425) 348-6727
Fax
(425) 259-3073
NPI assigned
Aug 20, 2009
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RC60056575 WA
Clinical Social Worker 1041C0700X LW60958706 WA Primary

Addresses

Primary practice location

15 SW Everett Mall Way Ste a
Everett, WA 98204-2715

Mailing address

15 SW Everett Mall Way Ste a
Everett, WA 98204-2715
Phone (425) 348-6727

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
I20210827000260 WA Practitioner - Clinical Social Worker 2264837319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Youth and Family CounselingGroup PAC ID 7012338981, 32 clinicians

Practice addresses (Care Compare)

16000 Christensen Rd
Suite 200
Tukwila, WA 98188-2925
Phone 70279035833583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RC60056575WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Youth and Family Counseling Mental Health CurrentSince Mar 1, 2025 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Jun 14, 2021 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Volunteers of America Past Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

221 W Wynooche Ave
Unit B
Montesano, WA 98563
Phone (360) 280-4969

16000 Christensen Rd
Ste 200
Tukwila, WA 98188
Phone (833) 719-0886

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1588896773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SW EVERETT MALL WAY STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982042715",
            "telephone_number": "425-348-6727",
            "fax_number": "425-259-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SW EVERETT MALL WAY STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982042715",
            "telephone_number": "425-348-6727",
            "fax_number": "425-259-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "M.S.W., LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2024-10-11",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC60056575",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60958706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.