Individual
JENNIFER NICOLA CICCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
21701 76TH AVE W STE 301, EDMONDS, WA 98026-7500
(425) 800-5692
Mailing address
21701 76TH AVE W STE 301, EDMONDS, WA 98026-7500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC70019535
WA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/18/2025
Last updated
08/08/2025
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