Jennifer Nicola Ciccarelli, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SC70019535 Issued in WA

Practice address

21701 76TH Ave W Ste 301
Edmonds, WA 98026-7500

Phone

(425) 800-5692

NPI assigned

Jun 18, 2025

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1629964200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21701 76TH AVE W STE 301",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 76TH AVE W STE 301",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267500",
            "telephone_number": "425-800-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARELLI",
        "first_name": "JENNIFER",
        "middle_name": "NICOLA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC70019535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffanie A. Chu, DPT
• Darryn Marie A Chua
• Damanjeet Singh Chugh, M.D.
• Alexander C Chung, MD
• Katherine Chung
• Abby Cicirelli, LMP
• City of Edmonds
• Clarity Behavioral Health
• Lillian R Clark
• Wendy Lynn Clarke, LMFT

• Social Worker in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.