Jenna Rachele Richardson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

547 Dayton St
Edmonds, WA 98020-3431

Phone

(888) 884-4913

NPI assigned

May 29, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Whitebear Behavioral Health

  • Clinical Social Worker
  • Everett, WA
  • NPI 1093578825
  NPD (past)

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1851084701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14476 OLD STATE ROAD 37",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475868620",
            "telephone_number": "812-719-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 DAYTON ST",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203431",
            "telephone_number": "888-884-4913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Main St",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980203197",
            "country_code": "US",
            "telephone_number": "812-719-8509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JENNA",
        "middle_name": "RACHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Rhodes
• Savannah Skye Rice, LMT
• Richard Ke'Aumoana Chung, Ms ND Naturopathic Family Physician, LTD
• Jake R Richards, CPHT
• Michelle R Richards, MD
• Duncan A Riddell, M.D.
• Jurgen Rieger, MD
• David Riggs, OD
• Zoe Riggs
• Jennifer Josephine Righi, DC

• Clinical Social Worker in Edmonds, WA
• Providers in Edmonds, 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 Jul 8, 2024; 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.