Individual provider · Type 1 NPI

Jill Marie Hollenbeck, LSWAIC

Clinical Social Worker · Black Diamond, WA

NPI number 1295415933 Active

Practice location

32637 Ash Ave SE
Black Diamond, WA 98010-5080

Mailing address

PO Box 1118
Maple Valley, WA 98010-1118

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSWI.LW.70104121 (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 1295415933

Jill Marie Hollenbeck, LSWAIC's National Provider Identifier is 1295415933, issued on Jul 18, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Black Diamond, WA. The record was last updated on Oct 1, 2026.