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Contact Information

JELANI L JACKSON, MSW, LICSW
419 S 2ND ST
RENTON, WA98057
 Phone: 425-203-7203
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JELANI L JACKSON · (Male)

NPI # 1740532852
Status Active
Credentials MSW, LICSW
Entity Individual
Enumeration date 10/12/2012
Last updated 11/15/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # LW 60607997
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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