Jennifer Calvin Myers, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60559117 Issued in WA

Practice address

3501 NW Lowell St
#201
Silverdale, WA 98383-7851

Phone

(360) 328-1078

NPI assigned

Jan 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Calvin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484352000000",
    "number": "1720524754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3905",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 NW LOWELL ST",
            "address_2": "#201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837851",
            "telephone_number": "360-328-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVIN MYERS",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-14",
        "last_updated": "2017-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW60559117",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60559117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CALVIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Francis Butler, MD
• Button Chiropractic PSC
• Bradley K Button, DC
• Lynn Marie Caires
• Brianna Margo Calkin, LMP
• Kyleen Alane Campbell, LMP
• Sara Jung Campbell, M.S. CCC-SP
• Julie Canterbury, MA
• Mary Anne Cantu, MA 617404565
• Yen Thi Kim Hong Cao, MD

• Clinical Social Worker in Silverdale, WA
• Providers in Silverdale, 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 Jan 14, 2017; 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.