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JEWELYA M IANNICIELLO SUDP, LICSW
NPI 1891984498
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since October 18, 2007
5001 112TH ST E, TACOMA, WA 98446(253) 460-0062 Get Directions Write a Review

NPPES record last updated: January 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jewelya M Ianniciello Sudp, Licsw NPPES

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

JEWELYA M IANNICIELLO SUDP, LICSW (NPI 1891984498) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CP00005115) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1891984498
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJEWELYA M IANNICIELLOCredential: SUDP, LICSW
Location Address5001 112TH ST ETacoma, WA 98446-5307
Mailing Address5001 112th St ETacoma, WA 98446-5307 · (253) 460-0062
Phone(253) 460-0062
Sole ProprietorYes
Enumeration DateOctober 18, 2007
Last NPPES UpdateJanuary 5, 2025
NPPES CertifiedJanuary 5, 2025
✔ NPI 1891984498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP00005115
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LW60174863 (WA)
5001 112TH ST E, Tacoma, WA 98446
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 12

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

CHASITY L BARROW CDP-T
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 531-2103
PERRY ALLEN LANDRUM CO61106327
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 238-7217
DAVID WILLIAM LAWS CDP
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 531-2103
SEAN ROWE
Peer Specialist
5001 112TH ST E
TACOMA, WA 98446
Pierce County (235) 444-2395
GAYDEANE LOUISE ALEXANDER CP 60062891
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 531-2103
MR. MICHAEL DEAN BATEMAN SUDP
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 539-3157
KIZZIEA TERRY STUBBLEFIELD AAC
Peer Specialist
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 531-2103
MEGAN MCCARREN
Counselor (Addiction (Substance Use Disorder))
5001 112TH ST E
TACOMA, WA 98446
Pierce County (253) 531-2103

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 Jewelya Ianniciello's NPI number?

The NPI number for Jewelya Ianniciello is 1891984498. It was assigned to this individual provider in the NPPES registry on October 18, 2007.

Where is Jewelya Ianniciello located?

Jewelya Ianniciello practices at 5001 112th St E, Tacoma, WA 98446. The listed phone number is (253) 460-0062.

What is Jewelya Ianniciello's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Jewelya Ianniciello accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jewelya Ianniciello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jewelya Ianniciello was last updated on January 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.