John Douglas Jaco, LICSW

Clinical Social Worker · Poulsbo, WA

Individual Active NPI

NPI number 1518796945

Practice location

19895 4TH Ave NE
Unit a
Poulsbo, WA 98370-7481
Phone
(425) 658-0727

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NPI record

NPI
1518796945
Entity type
Individual (Type 1)
Enumeration date
August 1, 2024
Last updated
August 1, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X LW61523528 WA

Mailing address

522 West Riverside Ave
Suite 4309
Spokane, WA 99201-0580
Phone
(888) 420-0589

About John Jaco

John Douglas Jaco, LICSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 19895 4TH Ave NE, Unit a, Poulsbo, WA 98370-7481. The NPI number 1518796945 was assigned on August 1, 2024 and the record was last updated on August 1, 2024.

John Jaco lists a license in the registry: #LW61523528 (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 John Douglas Jaco, LICSW?

The NPI number is 1518796945.

What is the phone number of John Jaco?

The phone number listed for the practice location is (425) 658-0727.

Where is John Jaco located?

19895 4TH Ave NE, Unit a, Poulsbo, WA 98370-7481.

What is the taxonomy code for John Jaco?

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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