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

Jessica Mt Dubose, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1659741304

Jessica Mt Dubose, MSW, LICSW is a Clinical Social Worker in Renton, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2015
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

1200 SW 27th St
Renton, WA 98057-2603
Phone: (206) 630-1680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 Broadway, Seattle, WA 98122-2499 — (206) 520-5000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60205596 (WA)

Record details

NPI number1659741304
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedOctober 6, 2015
Last updated in NPPESNovember 14, 2022
Certification dateNovember 9, 2022

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