Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JELANI LEIF JACKSON, MSW, LICSW
Active Sole ProprietorMR. JELANI LEIF JACKSON, MSW, LICSW is a Clinical Social Worker healthcare provider located in RENTON, Washington. NPI 1740532852 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · RENTON, WA
Registration Details
- NPI Number
- 1740532852
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2012 (13.824934326043 yrs)
- Last Updated
- Nov 15, 2016
- License
-
LW 60607997 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
419 S 2ND STRENTON, WA, 98057Browse WA providers · Browse ZIP 98057
- Phone
- 4252037203
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in RENTON, WA
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE L KER | LMHC | 1588603989 |
| MRS. STEPHANIE K HAROLDSEN | MSW, LICSW | 1558467589 |
| MS. MARGARET D. MCCULLOCH | MSW | 1336215193 |
| TRISTA NICOLE MORTENSEN | MSW | 1720125636 |
| VICKI L FINESILVER-QUINN | S.W. | 1225172711 |
| MR. MARK KEKOA CASEY | LCSW | 1043423494 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.