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

Jennifer Lee Jaeckel, LICSW

Individual provider Clinical Social Worker · NPI 1457860694

Jennifer Lee Jaeckel, LICSW is a Clinical Social Worker in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

3141 N 3rd Ave
Phoenix, AZ 85013-4360
Phone: (602) 914-1520
Fax: (602) 266-0545
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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 LCSW-17873 (AZ)

Record details

NPI number1457860694
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 20, 2017
Last updated in NPPESJune 25, 2019

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