JESSICA MT DUBOSE (NPI# 1659741304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659741304 |
| Entity Type | Individual |
| Full Name | JESSICA MT DUBOSE |
| Credential | MSW, LICSW |
| Practice Address |
275 Bronson Way Ne Renton WA 98056-4030 |
| Practice Telephone | 4252352808 |
| Mailing Telephone | 4252352808 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60205596 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LICENSED INDEPENDENT CLINICAL SOCIAL WORKER LICENSE | LW60205596 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356670277 | Jessica Dubose | Registered Nurse | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Mr. Kennedy, Fort Leavenworth, KS 66027 | 2009-12-24 |
| Street Address |
275 BRONSON WAY NE |
| City | RENTON |
| State | WA |
| Zip Code | 98056-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760541734 | Debra Susan Fetherston | Internal Medicine | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2006-12-06 |
| 1245793645 | Martin Tran | Pharmacist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2019-04-11 |
| 1477936573 | Sarah Elizabeth Fernandez | Speech-Language Pathologist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2015-07-07 |
| 1083019699 | Erica G Zimmerman | Dietitian, Registered | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2014-10-24 |
| 1760882484 | Rory David Cavaille | Physician Assistant | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2014-08-29 |
| 1982967733 | Amy Chen | Internal Medicine | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2012-06-18 |
| 1306103874 | Yara Ameen Nouisser | Pharmacist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2012-04-20 |
| 1124313846 | Pragya Priyadarshini Tripathi | Hospitalist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2011-06-10 |
| 1114218187 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2011-04-26 |
| 1427382969 | Everett Chun | Physical Therapist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2009-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1962949545 | Andrea Floth | Behavioral Analyst | 1177 Harrington Ave Ne #304, Renton, WA 98056 | 2017-01-20 |
| 1841695467 | Angelica Tran | Pharmacist | 455 Bronson Way North East, Renton, WA 98056 | 2014-10-24 |
| 1992844534 | Kathleen Maura Koenig | Physical Therapist | 7215 116th Ave Se, Newcastle, WA 98056 | 2007-02-06 |
| 1104975226 | Letha Fernandez | Counselor | 2503 Camas Ave Ne, Renton, WA 98056 | 2007-01-09 |
| 1760402366 | See Jane Inc | Optometrist | 12660 164th Ave Ste A, Renton, WA 98056 | 2006-07-20 |
| 1205860509 | Marta E Long | Internal Medicine | 275 Bronson Way Se, Renton, WA 98056 | 2006-07-10 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1710331483 | Aditi Dhar | Family Medicine | 7203 129th Ave Se Ste 100, Newcastle, WA 98056 | 2016-04-19 |
| 1215212287 | Emmie Yun-mei Lo | Pharmacist | 3011 Ne Sunset Blvd, Renton, WA 98056 | 2011-10-20 |
| Find all providers in zip 98056 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198533 | Stacy Jane Heinle | Social Worker | 16612 124th Ave Se, Renton, WA 98058-5364 | 2020-09-09 |
| 1225659535 | Michelle Solomon | Social Worker | 950 Harrington Ave Ne Apt N509, Renton, WA 98056-3139 | 2020-04-28 |
| 1386207454 | Ryan Parker Karnoski | Social Worker | 1425 S Puget Dr Apt G6, Renton, WA 98055-4318 | 2019-04-15 |
| 1588139133 | Antonio Soto | Social Worker | 2500 Lake Washington Blvd N, Renton, WA 98056-2597 | 2018-10-10 |
| 1285126532 | Katherine Dayle Curtis | Social Worker | 300 Vuemont Pl Ne Apt S203, Renton, WA 98056-4548 | 2018-06-02 |
| 1053853093 | Michael Damon | Social Worker | 1850 Grant Ave S, E3, Renton, WA 98055-3668 | 2016-11-08 |
| 1689982720 | Sharon Beth Kroll | Social Worker | 2201 Lind Avenue Sw, Suite 160, Suite 160, Renton, WA 98057 | 2010-09-23 |
| 1164747507 | Dorothy L Capers | Social Worker | 520 Burnett Ave S, Renton, WA 98057-2561 | 2010-03-29 |
| 1518281179 | Ching Brian Pak Cheung | Social Worker | 5606 Ne 4th Ct, Renton, WA 98059-4892 | 2010-03-25 |
| 1720238264 | Kimberley Anne Brown | Social Worker | 419 S 2nd St Ste 2, Renton, WA 98057-2234 | 2008-09-21 |
| Find all providers in RENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.