Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Stout-Willett, LICSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215423488

Jennifer Stout-Willett, LICSW is a Clinical Social Worker in Newport, Washington. Qualified in 2010, 16 years ago. Practices with Pend Oreille County Public Hospital District No 1, a 31-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
16
Licensed in
WA
In the registry since
2018
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

714 W Pine St Bldg C
Newport, WA 99156-9046
Phone: (509) 447-3139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60587149 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CP60297508 (WA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1215423488
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 10, 2018
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Pend Oreille County Public Hospital District No 1 — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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