Jeffrey Yellow Owl, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60290931 Issued in WA

Practice address

217 S Toppenish Ave
Pob 151
Toppenish, WA 98948-1780

Phone

(509) 865-5121

Fax

(509) 865-2064

NPI assigned

Feb 4, 2016

Sex

Male

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 TX

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

U S Health Dept of Health and Human ServicesGroup PAC ID 9638081623, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• P H S Indian Hospital Crow / Northern Cheyenne Hospital, Crow Agency, MT, CCN 271339

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.

• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1629436639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S TOPPENISH AVE",
            "address_2": "POB 151",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481780",
            "telephone_number": "509-865-5121",
            "fax_number": "509-865-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S TOPPENISH AVE",
            "address_2": "POB 151",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481780",
            "telephone_number": "509-865-5121",
            "fax_number": "509-865-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELLOW OWL",
        "first_name": "JEFFREY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60290931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yakima Valley Farm Workers Clinic
• Yakima Valley Farm Workers Clinic
• Yakima Valley Farm Workers Clinic (MSS Program Toppenish)
• Yakima Vly Farm Workers Phcy
• Jasmine Yellow Owl
• Catalina Yepez, PHARMACIST
• Yn Behavioral Health
• Kipp Alan Young, MD
• Roxana Zapien, RN
• Sol Zaragoza

• Clinical Social Worker in Toppenish, WA
• Providers in Toppenish, 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 Feb 4, 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.