Jolie Kathryn Palos-Brown

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61080928 Issued in WA

Practice address

13518 125TH Avenue CT E
Puyallup, WA 98374-4667

Phone

(253) 632-7402

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1922698042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13518 125TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744667",
            "telephone_number": "253-632-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13518 125TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744667",
            "telephone_number": "253-632-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOS-BROWN",
        "first_name": "JOLIE",
        "middle_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-06-30",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61080928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "joliepb@minfultherapygroup.com",
            "affiliation": "N",
            "address_1": "13518 125th Avenue Ct E",
            "city": "Puyallup",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983744667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lynn Page, PA-C
• Dareth-Rose Pak
• Sammy Pak, DDS
• Kendra NG Paker, D.P.T.
• Jennylynn F Palisoc, ARNP
• David A Paly, M.D.
• Pamela Sarlund-Heinrich, P.S.
• Job Pan, PHARMD
• July Pan
• Shirjana Pandey

• Clinical Social Worker in Puyallup, WA
• Providers in Puyallup, 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 Jun 30, 2021; 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.