Jack Ringel, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60654067 Issued in WA

Practice address

1904 3Rd Ave Ste 919
Seattle, WA 98101-1191

Phone

(206) 512-5861

NPI assigned

Oct 2, 2015

Last updated

Feb 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 6, 2023 through Feb 6, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1750751756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 3RD AVE STE 919",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011191",
            "telephone_number": "206-512-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 3RD AVE STE 919",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011191",
            "telephone_number": "206-512-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGEL",
        "first_name": "JACK",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-02",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60654067",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200001688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Samuel Rindskopf
• Wendy Marie Rineman, PT
• Lauren Ashley Ring, MD
• Nan Ring, MD
• Robert Edward Ring, MA, LMHC
• Jenny Ringnes, MD
• Nils Ringo, LMFT
• Sarah Ringold, MD
• Kathleen Anne Ringwood, LICSW
• Gary Edward Rink, RC, BA

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, 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 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.