Individual provider Active NPI

Hannah Jacky, LSWAIC

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1427849975
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61679149 Issued in WA
Practice address
155 NE 100TH St Ste 125
Seattle, WA 98125-8010
Phone
(206) 636-1982
Fax
(206) 582-0771
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC61679149 WA Primary

Addresses

Primary practice location

155 NE 100TH St Ste 125
Seattle, WA 98125-8010

Mailing address

155 NE 100TH St Ste 125
Seattle, WA 98125-8010
Phone (206) 636-1982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC61679149WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1427849975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 NE 100TH ST STE 125",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981258010",
            "telephone_number": "206-636-1982",
            "fax_number": "206-582-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NE 100TH ST STE 125",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981258010",
            "telephone_number": "206-636-1982",
            "fax_number": "206-582-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKY",
        "first_name": "HANNAH",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61679149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.