Individual provider Active NPI

Jessica K Makovsky, LICSW, MHP, CMHS

  • Clinical Social Worker
  • Kennewick, WA
National Provider Identifier
1730859117
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61448236 Issued in WA
Practice address
5219 W Clearwater Ave Ste 13
Kennewick, WA 99336-1980
Phone
(509) 593-8777
NPI assigned
Sep 16, 2021
Reactivated
Jul 24, 2024
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LW61448236 WA
Clinical Social Worker 1041C0700X LW61448236 WA Primary

Addresses

Primary practice location

5219 W Clearwater Ave Ste 13
Kennewick, WA 99336-1980

Mailing address

522 W Riverside Ave Ste N
Spokane, WA 99201-0581
Phone (509) 593-8777

Other identifiers 2

IdentifierTypeStateIssuer
2305621MedicaidWA
61448236OtherWALICENSURE

Other names 1

  • Jessica K Lewis Former name

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
I20241213002499 WA Practitioner - Clinical Social Worker 1355877333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5219 W Clearwater Ave
Suite 13
Kennewick, WA 99336-1980
Phone (509) 593-8777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J Makovsky Counseling LLC Mental Health (Including Community Mental Health Center) CurrentSince Nov 2, 2024 Accepting new patients

Locations

5219 W Clearwater Ave
Ste 13
Kennewick, WA 99336
Phone (509) 518-3389

522 W Riverside Ave
#6142
Spokane, WA 99201

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1730859117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010581",
            "telephone_number": "509-593-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 W CLEARWATER AVE STE 13",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361980",
            "telephone_number": "509-593-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOVSKY",
        "first_name": "JESSICA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LICSW, MHP, CMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "deactivation_date": "2024-07-17",
        "reactivation_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "LW61448236",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61448236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2305621",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "61448236",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LEWIS",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.