Kevin Jacobson

Clinical Social Worker · Edmonds, WA

Individual Active NPI

NPI number 1275308355

Practice location

14714 53rd Ave W Apt 128
Edmonds, WA 98026-3842
Phone
(425) 346-4990

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NPI record

NPI
1275308355
Entity type
Individual (Type 1)
Enumeration date
November 20, 2023
Last updated
November 20, 2023
Certified
November 20, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 61076817 WA

About Kevin Jacobson

Kevin Jacobson is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 14714 53rd Ave W Apt 128, Edmonds, WA 98026-3842. The NPI number 1275308355 was assigned on November 20, 2023 and the record was last updated on November 20, 2023.

Kevin Jacobson lists a license in the registry: #61076817 (WA) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Jacobson?

The NPI number is 1275308355.

What is the phone number of Kevin Jacobson?

The phone number listed for the practice location is (425) 346-4990.

Where is Kevin Jacobson located?

14714 53rd Ave W Apt 128, Edmonds, WA 98026-3842.

What is the taxonomy code for Kevin Jacobson?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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