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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60171261 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | TAXONOMY CODE | 1041C0700X | 01 |
| Street Address |
314 NE THORNTON PL |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-9000 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 98125 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| 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 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on KIANDRA LISARAY JACOBSEN.
| 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.