Individual
GRACE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1202 E PINE ST, SEATTLE, WA 98122-3929
(206) 705-8595
(206) 374-2570
Mailing address
1202 E PINE ST, SEATTLE, WA 98122-3929
(206) 705-8595
(206) 374-2570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60696535
WA
1041C0700X
Clinical Social Worker
LW60696535
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071895
—
WA
Enumeration date
11/29/2016
Last updated
03/18/2026
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