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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043767049

Jennifer Alice Mandin, LCISW is a Student in an Organized Health Care Education/Training Program in Spokane, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

124 E Short Ave
Spokane, WA 99202-1555
Phone: (509) 838-4651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1149 S Hill St, Los Angeles, CA 90015-2212 — (213) 821-5977

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LW61307762 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence CG60930980 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence SC61003412 (WA)

Record details

NPI number1043767049
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCISW
Sole proprietorYes
NPI enumeratedSeptember 7, 2016
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022

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