Female

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)

Code

1041C0700X

Primary Taxonomy

Yes

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

Provider Address

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