Individual provider Active NPI

Jenafer K Delaney, LSWAIC

  • Clinical Social Worker
  • Kirkland, WA
National Provider Identifier
1992387013
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61157806 Issued in WA
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

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
61157806WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Traverse Therapy Services Single Specialty CurrentSince May 16, 2021 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

  • Direct secure messaging: 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.

Verify at the official NPI Registry.