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Michelle Jaquish, LICSW — NPI 1174091110, Fircrest, WA | NPI Central

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NPI 1174091110

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Michelle Jaquish, LICSW

NPI 1174091110 · Clinical Social Worker · Fircrest, WA

Provider details

NPI number: 1174091110
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LICSW
Sex: Female
Sole proprietor: Yes
License: LW61115906 (WA)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense LW61115906 (WA)
Behavioral Health & Social Service Providers

Practice location

6314 19th St W Ste 7

Fircrest, WA 98466-6223

Phone: (601) 206-8735

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

6314 19th St W Ste 7

Fircrest, WA 98466-6223

Additional practice locations (1)

216 James St
Seattle, WA 98104-5102
Phone: (206) 739-1650
Fax: (206) 652-1236

Registry dates

Enumerated: 2018-11-07
Last updated: 2025-01-13
Certified: 2025-01-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.