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

Individual provider Clinical Social Worker · NPI 1518796945

Mr. John Douglas Jaco, LICSW is a Clinical Social Worker in Poulsbo, Washington. Qualified in 1996, 30 years ago. Practices with Teletherapeutics Health Inc, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
30
Licensed in
WA
In the registry since
2024
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

19895 4th Ave NE Unit A
Poulsbo, WA 98370-7481
Phone: (425) 658-0727
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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 LW61523528 (WA)

Record details

NPI number1518796945
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 1, 2024
Last updated in NPPESAugust 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Teletherapeutics Health Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Poulsbo