Individual provider Active NPI

Jane Keptner, SWAIC

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1790230795
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC60580491 Issued in WA
Practice address
10700 Meridian Ave N
Suite G-11
Seattle, WA 98133-9008
Phone
(206) 366-3042
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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 SC60580491 WA Primary

Addresses

Primary practice location

10700 Meridian Ave N
Suite G-11
Seattle, WA 98133-9008

Mailing address

23001 Lakeview Dr
Unit 106
Mountlake Terrace, WA 98043-2371
Phone (585) 978-2871

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
SC60580491WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1790230795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23001 LAKEVIEW DR",
            "address_2": "UNIT 106",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432371",
            "telephone_number": "585-978-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MERIDIAN AVE N",
            "address_2": "SUITE G-11",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339008",
            "telephone_number": "206-366-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPTNER",
        "first_name": "JANE",
        "credential": "SWAIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60580491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.