Jordyn Hengeveld

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108357 Issued in CA

Practice address

5019 Boardwalk St SE
Lacey, WA 98503-9018

Phone

(818) 624-4422

NPI assigned

Mar 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Richard P. Brooks, Jr., Arnp, Inc.

  • Psychiatric/Mental Health Registered Nurse
  • Hoquiam, WA
  • NPI 1659914000
  Medicare reassignment NPD
• Behavioral Counseling Associates PS

  • Psychologist
  • Aberdeen, WA
  • NPI 1215071717
  NPD (past)

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675555200000",
    "number": "1871051243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 BOARDWALK ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985039018",
            "telephone_number": "818-624-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 BOARDWALK ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985039018",
            "telephone_number": "818-624-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENGEVELD",
        "first_name": "JORDYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Heisler, O.D.
• Christopher P Heistand, SLP
• Shannon Joyce Helsham, LMT
• Christopher J Henderson, PT
• Scott Allen Henderson, D.C.
• Brooke Alexis B Henninger, PHARMD
• Herbert Todd DDS
• Cynthia Herbert, M.S.
• Michael Herman, PHARMD
• Karla Hernandez

• Clinical Social Worker in Lacey, WA
• Providers in Lacey, 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 5, 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.

Verify at the official NPI Registry.