Jessica Anne Martin, MSW, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61131132 Issued in WA

Practice address

12112 E Alki Ave Apt 11
Spokane Valley, WA 99206-5189

Phone

(509) 714-2143

NPI assigned

Jan 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Alicia Rule and Associates

  • Mental Health Counselor
  • Bellingham, WA
  • NPI 1871422162
  NPD (past)
• Rule and Associates

  • Counselor
  • Bellingham, WA
  • NPI 1962019885
  NPD (past)

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1992336556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 E ALKI AVE APT 11",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065189",
            "telephone_number": "509-714-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12112 E ALKI AVE APT 11",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065189",
            "telephone_number": "509-714-2143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Harris Ave",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982257080",
            "country_code": "US",
            "telephone_number": "360-734-0615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "MSW, LSWAIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61131132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Marshall, DDS
• Lindsey Rose Marsteller
• Natalie Teralyn Martell
• Hailey Martin Mantanona
• Elizabeth G Martin, ARNP
• Kathryn Martin
• Logan C Martin, DC
• Magan Martin
• Melissa Lee Martin, RN
• Robin Linetta Martin, PA-C

• Clinical Social Worker in Spokane Valley, WA
• Providers in Spokane Valley, 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 Dec 15, 2020; 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.