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

Jacquelyn Wiman, LICSW

Individual provider Clinical Social Worker · NPI 1831574680

Jacquelyn Wiman, LICSW is a Clinical Social Worker in Omak, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1007 Koala Dr
Omak, WA 98841-9247
Phone: (509) 826-6191
Fax: (509) 826-8416
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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 LW60293057 (WA)

Record details

NPI number1831574680
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 22, 2015
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024
Mailing address1007 Koala Dr, Omak, WA 98841-9247

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