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

Individual provider Clinical Social Worker · NPI 1013461342

Kiandra Lisaray Jacobsen, LICSW is a Clinical Social Worker in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2016
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

314 NE Thornton Pl
Seattle, WA 98125-9000
Phone: (206) 528-8000
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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 LW60171261 (WA)

Record details

NPI number1013461342
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 3, 2016
Last updated in NPPESAugust 3, 2016

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