Jessica Leonora Seay, LCSW, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61064173 Issued in WA

Practice address

3423 NE Kingbird St
Camas, WA 98607-6907

Phone

(360) 810-8870

NPI assigned

Jan 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Leonora Gutierrez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 7, 2021 through Jan 7, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1861739773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 NE KINGBIRD ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986076907",
            "telephone_number": "360-810-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 NE KINGBIRD ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986076907",
            "telephone_number": "360-810-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAY",
        "first_name": "JESSICA",
        "middle_name": "LEONORA",
        "credential": "LCSW, LSWAIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4706",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61064173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GUTIERREZ",
            "middle_name": "LEONORA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Frank Schultz, DC
• Scott R Lewis, OD, PLLC
• Paul Montgomery Scott, DC
• Tienne Scott, MSN, RN
• Bonny E Seal, ND
• Sensoriworks LLC
• Krizsa Nicolitte Katigbak Serquina, PT, DPT
• Services Promo LLC
• Jessica Lynn Settle, DC
• Sharma-SK, MDS PLLC

• Clinical Social Worker in Camas, WA
• Providers in Camas, 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 Oct 16, 2023; 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.