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

Mrs. Jessica Ellen Koppy, LICSW

Individual provider Clinical Social Worker · NPI 1417659301

Mrs. Jessica Ellen Koppy, LICSW is a Clinical Social Worker in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023
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

1101 Madison St Ste 500
Seattle, WA 98104-3557
Phone: (206) 320-7288
Fax: (206) 215-2139
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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 LW60613858 (WA)

Record details

NPI number1417659301
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

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