Jack Wyatt Beam, LICSW
Jack Wyatt Beam, LICSW is a Student in an Organized Health Care Education/Training Program in Shoreline, Washington. Licensed in Washington. Registered with an NPI since 2022.
- Licensed in
- WA
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
17018 15th Ave NEShoreline, WA 98155-5137
Phone: (206) 362-7282
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence LW70069003 (WA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1396406245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICSW |
| Sole proprietor | No |
| NPI enumerated | January 3, 2022 |
| Last updated in NPPES | August 6, 2026 |
| Certification date | August 6, 2026 |
Other providers in Shoreline
-
Thi Van Bui I
1818 NE 175th St, Shoreline, WA 98155-5273 · (206) 805-9028
-
Danuel Joshua Catapang Del Mundo
1273 NW 191st St, Shoreline, WA 98177-2735 · (206) 816-0176
-
Mary Eden Ellis
17018 15th Ave NE, Shoreline, WA 98155-5137 · (206) 384-8691
-
Amy Espinoza
17018 15th Ave NE, Shoreline, WA 98155-5126 · (206) 362-7282