Jamie M McDermott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-22219 Issued in AZ

Practice address

55 S 5TH St
Sierra Vista, AZ 85635-1857

Phone

(520) 523-9224

NPI assigned

May 13, 2024

Last updated

May 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 AZ

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

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.

• Mesa Verde Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sierra Vista, AZ
  • NPI 1043098650
  Medicare reassignment NPD (past)
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Sierra Vista, AZ
  • NPI 1720232168
  NPD (past)
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1932530797
  NPD (past)

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1609624832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 884",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856290884",
            "telephone_number": "520-523-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S 5TH ST",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351857",
            "telephone_number": "520-523-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "JAMIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Bradshaw Mazanek, M. ED.
• Trudy McCloud, LCSW
• Jessica Nichole McClure, RN
• William McCormick, DO
• Marlene E McDaniel, PT
• Michael E McDermott, DO
• D. N. McDowell, MSW/PSYD
• Richard David McEver, MC, LPC
• Elora McGee, PMHNP
• Shaun Patrick McGuire, DC

• Clinical Social Worker in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.