Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacque Tara Washington, LCSW

Individual provider Mental Health Counselor · NPI 1265671150

Jacque Tara Washington, LCSW is a Mental Health Counselor in Ithaca, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

201 E Green St
Ithaca, NY 14850-5421
Phone: (607) 274-6230
Fax: (607) 274-6316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R080091 (NY)
Mental Health Counselor Taxonomy 101YM0800X · Licence 075193-1 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 080091-1 (NY)

Record details

NPI number1265671150
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 17, 2009
Last updated in NPPESNovember 30, 2015

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