Active NPI
Jessica A De Larwelle, MSW
- Social Worker
- Everett, WA
National Provider Identifier
1811566409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW60877309
- Practice address
- 2930 Maple St
Everett, WA 98201-3832 - Phone
- (425) 261-1500
- Fax
- (425) 261-1515
- NPI assigned
- Jun 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8707-123 | WI | |
| Social Worker | 104100000X | LW60877309 | WA | Primary |
Addresses
Primary practice location
2930 Maple St
Everett, WA 98201-3832
Mailing address
2930 Maple St
Everett, WA 98201-3832
Phone (425) 261-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNKNOWN | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Jessica.delarwelle@gmail.com | Other | |
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2930 Maple St
Everett, WA 98201-3832
Phone (425) 261-1500
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.22 of 100
- Quality
- 72.08
- Promoting interoperability
- 70
- Improvement activities
- 40
- Cost
- 66.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8707-123 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Responsive Therapy & Consulting PLLC | Current | Accepting new patients |
Locations
2930 Maple St
Everett, WA 98201
Phone (425) 261-1500
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- jdelarwelle4179005@ghc.direct-ci.net
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Community/Behavioral Health Agency
- Everett, WA
- NPI 1396444717
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677283200000",
"number": "1811566409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 MAPLE ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013832",
"telephone_number": "425-261-1500",
"fax_number": "425-261-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 MAPLE ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013832",
"telephone_number": "425-261-1500",
"fax_number": "425-261-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LARWELLE",
"first_name": "JESSICA",
"middle_name": "A",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2023-02-25",
"certification_date": "2023-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "8707-123",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60877309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "UNKNOWN",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Jessica.delarwelle@gmail.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Email",
"address_1": "2900 Grand Ave Apt 539",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982014896",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2930 Maple St",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982013832",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.