Individual provider Active NPI

Jordan T Schillings

  • Clinical Social Worker
  • Everett, WA
National Provider Identifier
1942975305
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61199553 Issued in WA
Practice address
1316 Wall St Ste 2D
Everett, WA 98201-3942
Phone
(425) 340-3500
Fax
(425) 287-6398
NPI assigned
Aug 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 SC61199553 WA Primary

Addresses

Primary practice location

1316 Wall St Ste 2D
Everett, WA 98201-3942

Mailing address

1316 Wall St Ste 2D
Everett, WA 98201-3942
Phone (425) 340-3500

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
SC61199553WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alona Wellness Center, PLLC Clinical CurrentSince Aug 27, 2023 Accepting new patients

Locations

1316 Wall St
Ste 2D
Everett, WA 98201
Phone (425) 340-3500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1942975305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 WALL ST STE 2D",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013942",
            "telephone_number": "425-340-3500",
            "fax_number": "425-287-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 WALL ST STE 2D",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013942",
            "telephone_number": "425-340-3500",
            "fax_number": "425-287-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLINGS",
        "first_name": "JORDAN",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "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": "SC61199553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.