Individual provider · Type 1 NPI

Jacob Watanabe, LCSW

Clinical Social Worker · Northglenn, CO

NPI number 1801530696 Active

Practice location

10465 Melody Dr Ste 215
Northglenn, CO 80234-4125

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	CSW.09928893 (CO)
Social Worker	104100000X	None listed

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 1801530696

Jacob Watanabe, LCSW's National Provider Identifier is 1801530696, issued on Apr 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northglenn, CO. The record was last updated on Oct 28, 2026.