Jennifer C Croke, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00009685 Issued in WA

Practice address

5120 Varco Rd NE
Tacoma, WA 98422-1808

Phone

(917) 975-7712

Fax

(253) 235-5236

NPI assigned

Jan 30, 2015

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

Other names 1

• Jennifer Croke Kumpf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jennifer Croke Psychotherapy

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1275904245
  NPD (past) Authorized official

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1942690813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 VARCO RD NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221806",
            "telephone_number": "917-975-7712",
            "fax_number": "253-235-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 VARCO RD NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221808",
            "telephone_number": "917-975-7712",
            "fax_number": "253-235-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROKE",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "00009685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KUMPF",
            "middle_name": "CROKE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Watson Croasdill, DMD
• Vera G Croce, MA, LMHC
• Linda Winston Crockett, ARNP
• Lashaunda Crocklem
• Robin Croghan
• John Croley
• Amber Cron
• Jamie Cronce
• Baylee Christine Crone, PHD
• Aaron John Cronin, P.A., DSC

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, 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 10, 2015; 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.