Individual provider · Type 1 NPI

Jessica Ellen Koppy, LICSW

Clinical Social Worker · Seattle, WA

NPI number 1417659301 Active

Practice location

1101 Madison St Ste 500
Seattle, WA 98104-3557

Fax (206) 215-2139

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW60613858 (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 1417659301

Jessica Ellen Koppy, LICSW's National Provider Identifier is 1417659301, issued on Mar 21, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Seattle, WA. The record was last updated on May 30, 2023.