JILL M PAULK LICSW
NPI 1003977463
Social Worker - Clinical in Port Townsend, WA

Active since December 12, 2006
884 WEST PARK AVENUE, PORT TOWNSEND, WA 98368(360) 385-0321(360) 379-5534 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill M Paulk Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL M PAULK LICSW (NPI 1003977463) is an individual clinical provider in Port Townsend, Washington, licensed in Washington (LW00009448) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1003977463
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJILL M PAULKCredential: LICSW
Location Address884 WEST PARK AVENUEPort Townsend, WA 98368
Mailing Address242 Leprechaun LanePort Angeles, WA 98362 · (360) 457-4253
Fax(360) 379-5534
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 12, 2010
NPI 1003977463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in WA · LW00009448 Licensed in NJ · 44SC01167500 Licensed in NY · PR017066
Definition
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.
884 WEST PARK AVENUE, Port Townsend, WA 98368

Other Identifiers 2

Medicare ID-Type Unspecified640650NJ · Medicare Of Nj Provider #
Other200466460Ein

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
884 WEST PARK AVENUE
PORT TOWNSEND, WA 98368
Registered Nurse
884 WEST PARK AVENUE
PORT TOWNSEND, WA 98368
Psychologist
884 WEST PARK AVENUE
PORT TOWNSEND, WA 98368
Social Worker
884 WEST PARK AVENUE
PORT TOWNSEND, WA 98368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Paulk's NPI number?

The NPI number for Jill Paulk is 1003977463. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Jill Paulk located?

Jill Paulk practices at 884 West Park Avenue, Port Townsend, WA 98368. The listed phone number is (360) 385-0321.

What is Jill Paulk's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jill Paulk was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.