KIANDRA LISARAY JACOBSEN


Address: 314 Ne Thornton Pl, Seattle, WA 98125-9000
Phone: 2065288000

KIANDRA LISARAY JACOBSEN (NPI# 1013461342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013461342
Entity Type Individual
Full Name KIANDRA LISARAY JACOBSEN
Credential LICSW
Practice Address 314 Ne Thornton Pl
Seattle
WA 98125-9000
Mailing Address 5505 Brooklyn Ave Ne
Seattle
WA 98105-3517
Practice Telephone 2065288000
Mailing Telephone 2063568766
Enumeration Date 2016-08-03
Last Update Date 2016-08-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LW60171261 WA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA TAXONOMY CODE 1041C0700X 01

Office Location

Street Address 314 NE THORNTON PL
City SEATTLE
State WA
Zip Code 98125-9000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366438947 Paul A James Family Medicine 314 Ne Thornton Pl, Seattle, WA 98125-9000 2005-09-20
1891316840 Peter S Loft Jr. Social Worker 314 Ne Thornton Pl, Seattle, WA 98125-9000 2020-04-30
1124500871 Michael John Kearney Physician Assistant 314 Ne Thornton Pl, Seattle, WA 98125-9000 2018-08-29
1154828028 Allison Grace Cummings Student in an Organized Health Care Education/Training Program 314 Ne Thornton Pl, Seattle, WA 98125-9000 2018-04-09
1528598539 Christopher Paul Pitre Physician Assistant 314 Ne Thornton Pl, Seattle, WA 98125-9000 2017-06-13
1104354125 Christina S Miles Family Medicine 314 Ne Thornton Pl, Seattle, WA 98125-9000 2017-06-03
1497286926 Patrick Callahan Family Medicine 314 Ne Thornton Pl, Seattle, WA 98125-9000 2017-03-26
1376074443 Zoe Judith Mildred Sansted Family Medicine 314 Ne Thornton Pl, Seattle, WA 98125-9000 2017-03-21
1265988737 Daniel R Evans Psychologist 314 Ne Thornton Pl, Seattle, WA 98125-9000 2016-08-25
1063845006 Emily Anne Hilderman Nurse Practitioner 314 Ne Thornton Pl, Seattle, WA 98125-9000 2013-08-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235771494 Erin Renee Blood Behavior Technician 14301 30th Ave Ne, Seattle, WA 98125 2019-10-09
1023587912 Ami Tsuchiya Physical Therapist 2611 Ne 125th St, Suite 90, Seattle, WA 98125 2018-11-20
1730603556 Lauren Morgan Counselor 10125 Lake City Way Ne, Seattle, WA 98125 2017-08-02
1427572353 Beverly Ann Williamson Counselor Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 2017-08-02
1902320229 Lillian Marilynanne Olin Nurse's Aide 12728 28th Ave Ne Apt 510, Seattle, WA 98125 2017-07-28
1760913743 Ariel Alon Counselor 13325 31st Ave Ne, Seattle, WA 98125 2017-03-22
1154872380 Jean Hung Naturopath 12317 15th Ave Ne Suite #103, Seattle, WA 98125 2016-10-24
1063806438 Hope Health Senior Care Clinic/Center 507ne Northgate Way, Suite #441, Seattle, WA 98125 2015-03-24
1073938585 Lily Jei-ho Chang Acupuncturist 12710 102nd Ave Ne, Kirkland, WA 98125 2014-02-20
1033548177 George Ray Coleman Naturopath 12520 26th Ave Ne, Unit B, Seattle, WA 98125 2013-11-08
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063011609 Caroline A Lanza Social Worker 13035 39th Ave Ne, Seattle, WA 98125-4613 2020-10-24
1730787540 Regina Yeh Social Worker 5011b 44th Ave Ne, Seattle, WA 98105-2909 2020-10-14
1447864889 Noah Starer Social Worker 3719 S Angeline St Apt 2, Seattle, WA 98118-1761 2020-09-02
1073123733 Namkung Counseling Social Worker 2611 Ne 125th St Ste 116, Seattle, WA 98125-4374 2020-08-06
1912515503 Madeline Cody Ritter Social Worker 1818 E Madison St Apt 407, Seattle, WA 98122-3184 2020-07-20
1679191761 Sarah Louise Gossman Davis Social Worker 2100 Westlake Ave N Ste 201, Seattle, WA 98109-5802 2020-07-06
1184249021 Jennifer J Moyer-taylor Social Worker 13532 15th Pl Ne, Seattle, WA 98125-3202 2020-06-16
1528682440 Perinatal Support Washington Social Worker 2319 N 45th St Ste 303, Seattle, WA 98103-6979 2020-06-05
1063033678 Kate Brickell Social Worker 2524 16th Ave S # 305, Seattle, WA 98144-5104 2020-05-05
1710507439 Sara Miller Brown Social Worker 905 Dexter Ave N Apt L100, Seattle, WA 98109-3891 2020-04-22
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Competitor

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City SEATTLE
Zip Code 98125

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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