Jennifer E. Crooks LSWAIC
Clinical Social Worker in Seattle, WA(View on Map)
Full Name
Jennifer Elaine-ketcham Crooks LSWAIC
NPI Number
1952879090
NPI Type
Individual Provider
Gender
Female
Enumeration Date
11/07/2018
Specialties
(Taxonomies)Licenses
State
California
Montana
Oregon
Washington
License Number
115557
BBH-LCSW-LIC-62932
L13917
LW61088339
Contact
Information
Purpose
Mailing
Location
Address
2331 42ND AVE SW APT 403
2331 42ND AVE SW APT 403
City
Seattle
Seattle
State
WA
WA
Postal Code
98116-2557
98116-2557
Country
US
US
Telephone Number
(206) 973-3791
(213) 359-7984
Identifiers
Identifier
L13917
LW61088339
BBH-LCSW-LIC-62932
115557
Identifier State
OR
WA
MT
CA
Identifier Issuer
BOARD OF LICENSED SOCIAL WORKERS
WASHINGTON DEPARTMENT OF HEALTH
BOARD OF BEHAVIORAL HEALTH
BOARD OF BEHAVIORAL SCIENCES
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/27/2023