Individual provider · Type 1 NPI

Kiandra Lisaray Jacobsen, LICSW

Clinical Social Worker · Seattle, WA

NPI number 1013461342 Active

Practice location

314 NE Thornton Pl
Seattle, WA 98125-9000

Mailing address

5505 Brooklyn Ave NE
Seattle, WA 98105-3517

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW60171261 (WA)

Clinical Social Worker: 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 interpers…

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About NPI 1013461342

Kiandra Lisaray Jacobsen, LICSW's National Provider Identifier is 1013461342, issued on Aug 3, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Seattle, WA. The record was last updated on Aug 3, 2016.