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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578283404

Jessie Licon, ASW is a Student in an Organized Health Care Education/Training Program in Los Angeles, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Los Angeles, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 116305 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578283404
Entity typeIndividual (Type 1)
GenderMale
Credentials ASW
Sole proprietorNo
NPI enumeratedAugust 31, 2022
Last updated in NPPESFebruary 7, 2024
Certification dateJanuary 9, 2024

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