JESSICA MT DUBOSE MSW, LICSW - NPI 1659741304

Q: What is Jessica Dubose's NPI number?

The NPI number for Jessica Dubose is 1659741304. It was assigned to this individual provider in the NPPES registry on October 6, 2015. The provider is also known as Jessica M Thomas.

Q: What is Jessica Dubose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Dubose was last updated on November 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jessica Mt Dubose Msw, Licsw NPPES

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

JESSICA MT DUBOSE MSW, LICSW (NPI 1659741304) is an individual clinical provider in Renton, Washington, licensed in Washington (LW60205596) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1659741304

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA MT DUBOSECredential: MSW, LICSW

Location Address1200 SW 27TH STRenton, WA 98057-2603

Mailing Address1200 Sw 27th StRenton, WA 98057-2603 · (206) 630-1680

Phone(206) 630-1680

Sole ProprietorNo

Enumeration DateOctober 6, 2015

Last NPPES UpdateNovember 14, 20222 updates tracked since enumeration

NPPES CertifiedNovember 9, 2022

✔ NPI 1659741304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WA · LW60205596

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.

1200 SW 27TH ST, Renton, WA 98057

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Other Names 1

Former Name (1)Jessica M Thomas

Secondary Practice Location 1

Location 1401 Broadway, Suite 2075Seattle, WA 98122-2499 · Phone (206) 520-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Mt Dubose Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $63.67 – $189.37

Typical copayment $0.00 (range $15.91 – $47.34)

Most-billed visit code NA

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

LAURA LYNN MYER

Social Worker (Clinical)