Jessica Marie Van Boven, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61231526 Issued in WA

Practice address

316 W Boone Ave Ste 850
Spokane, WA 99201-2353

Phone

(208) 494-2251

NPI assigned

Jul 13, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jessica Jachetta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1306525779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE STE 850",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012353",
            "telephone_number": "208-494-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE STE 850",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012353",
            "telephone_number": "208-494-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BOVEN",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61231526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JACHETTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Ann Vallies, SUDP
• Cristine Alexa Vallone, CDPT
• Vamc
• Gretchen H Van Bodegom
• Robin Brady Van Bommel, MSSW,LCSW
• Ean James Zahn Van Bramer, DO
• Miranda L Van de Loo, DNP, FNP-BC, PMHNP
• Olivia Van de Rostyne
• Jordon Van de Velde, DO
• Shawn M Van Dingenen

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.