Individual provider Active NPI

Jill Marie Esbeck, MSW, MHP, SWAIC

  • Social Worker
  • Olympia, WA
National Provider Identifier
1639830557
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SC61327504 Issued in WA
Practice address
402 Yauger Way SW
Olympia, WA 98502-8660
Phone
(360) 968-0473
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SC61327504 WA Primary

Addresses

Primary practice location

402 Yauger Way SW
Olympia, WA 98502-8660

Mailing address

1740 Camden PL SW
Olympia, WA 98512-5555
Phone (360) 888-7554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC61327504WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Community Services WW PastSince Jan 1, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1639830557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 CAMDEN PL SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125555",
            "telephone_number": "360-888-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 YAUGER WAY SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028660",
            "telephone_number": "360-968-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESBECK",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "MSW, MHP, SWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2024-02-14",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61327504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.