Active NPI
Jenafer K Delaney, LSWAIC
- Clinical Social Worker
- Kirkland, WA
National Provider Identifier
1992387013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61157806
- Practice address
- 11416 Slater Ave NE Ste 100
Kirkland, WA 98033-4600 - Phone
- (206) 741-0742
- NPI assigned
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 61157806 | WA | Primary |
Addresses
Primary practice location
11416 Slater Ave NE Ste 100
Kirkland, WA 98033-4600
Mailing address
9 Lake Bellevue Dr Ste 214
Bellevue, WA 98005-2454
Phone (206) 853-7364
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Admissions@traversetheraypservices.com | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61157806 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traverse Therapy Services | Single Specialty | Current | Accepting new patients |
Locations
9 Lake Bellevue Dr
Ste 214
Bellevue, WA 98005
Phone (425) 324-6752
11416 Slater Ave NE
Ste 100
Kirkland, WA 98033
Phone (206) 853-7364
Interoperability endpoints
- admissions@traversetheraypservices.com
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": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1992387013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 LAKE BELLEVUE DR STE 214",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052454",
"telephone_number": "206-853-7364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11416 SLATER AVE NE STE 100",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980334600",
"telephone_number": "206-741-0742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELANEY",
"first_name": "JENAFER",
"middle_name": "K",
"credential": "LSWAIC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "61157806",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Admissions@traversetheraypservices.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Admissions email",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11416 Slater Ave NE",
"city": "Kirkland",
"state": "WA",
"country_code": "US",
"postal_code": "980338827",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.