Grace I Jahava

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61189464 Issued in WA

Practice address

12531 27TH Ave NE
Seattle, WA 98125-4309

Phone

(360) 610-2263

NPI assigned

Jun 14, 2023

Last updated

Oct 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sound Resilience Health LLC

  • Mental Health Counselor
  • Arlington, WA
  • NPI 1073209128

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1336823913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12531 27TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254309",
            "telephone_number": "360-610-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12531 27TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254309",
            "telephone_number": "360-610-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHAVA",
        "first_name": "GRACE",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61189464",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "WA",
            "license": "61189464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mateja Jagodic
• Minal Jagtiani, MBBS
• Jennifer Elizabeth Jahahn
• Nicholas Jahahn
• Bryan Mudimbwa Jahava, BA
• Benjamin J. Jahn, LMP
• Paula Jahn, MS, RD
• Tiffany Jahn
• Sara Lucille Jahnke, PTA
• Jahyun Koo DDS PS

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, 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 Oct 6, 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.