IndividualActive
Jennifer Mandin, LCISW
NPI 1043767049 · Social Worker · Spokane, WA
Provider details
- NPI number
- 1043767049
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCISW
- Sex
- Female
- Sole proprietor
- Yes
- License
- CG60930980 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Student, Health Care
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
124 E Short Ave
Spokane, WA 99202-1555
Phone: (509) 838-4651
Street-level locationGet directions
Mailing address
107 S Division St
Spokane, WA 99202-1510
Additional practice locations (1)
- 1149 S Hill StSuite H-375Los Angeles, CA 90015-2212Phone: (213) 821-5977
Registry dates
- Enumerated
- 2016-09-07
- Last updated
- 2022-11-16
- Certified
- 2022-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.