Individual provider Active NPI

Annika Ashton Jakes, MSW, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1932609914
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC60943763 Issued in WA
Practice address
1204 Minor Ave FL 3
Seattle, WA 98101-2825
Phone
(206) 307-1037
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X SC60943763 WA Primary

Addresses

Primary practice location

1204 Minor Ave FL 3
Seattle, WA 98101-2825

Mailing address

1204 Minor Ave FL 3
Seattle, WA 98101-2825
Phone (206) 307-1037

Other practice location 1

2910 E Madison St Ste 102
Seattle, WA 98112-4214
Phone (206) 307-1037

Other practice location 2

1660 S Columbian Way
Seattle, WA 98108-1532
Phone (206) 716-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC60943763WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1932609914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MINOR AVE FL 3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012825",
            "telephone_number": "206-307-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MINOR AVE FL 3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012825",
            "telephone_number": "206-307-1037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 E Madison St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981124214",
            "country_code": "US",
            "telephone_number": "206-307-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 S Columbian Way",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981081532",
            "country_code": "US",
            "telephone_number": "206-716-5682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKES",
        "first_name": "ANNIKA",
        "middle_name": "ASHTON",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60943763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.