Individual provider Active NPI

Caitlin Anne Jesse

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1689208993
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60579989 Issued in WA
Practice address
4860 Rainier Ave S Ste C
Seattle, WA 98118-6305
Phone
(206) 454-9678
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60579989 WA Primary

Addresses

Primary practice location

4860 Rainier Ave S Ste C
Seattle, WA 98118-6305

Mailing address

4326 S Holly St
Seattle, WA 98118-3324
Phone (206) 948-0774

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address caitlin.jesse@griefpathways.com Direct

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
I20230815002852 WA Practitioner - Clinical Social Worker 4688036148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4326 S Holly St
Seattle, WA 98118-3324
Phone (206) 454-9678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60579989WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caitlin Jesse, Grief Pathways, PLLC Clinical CurrentSince Feb 3, 2020 Accepting new patients

Locations

4860 Rainier Ave S
Ste C
Seattle, WA 98118
Phone (206) 316-1812

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1689208993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 S HOLLY ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183324",
            "telephone_number": "206-948-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 RAINIER AVE S STE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981186305",
            "telephone_number": "206-454-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSE",
        "first_name": "CAITLIN",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60579989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caitlin.jesse@griefpathways.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Seattle",
            "address_1": "4860 Rainier Ave S Ste C",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981186305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.