Jordan Si Dennison, LCSW, LICSW
NPI 1477082626ActiveIndividual· Social Worker, Clinical· Tukwila, WA
Social Worker, Clinical (LCSW, LICSW) in Tukwila, Washington, licensed in WA and CO, with an NPI issued in June 2017. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1477082626 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, LICSW |
| Sole proprietor | Yes |
| NPI issued | Jun 9, 2017 |
| Last updated in NPPES | Apr 13, 2022 |
| Certified by provider | Apr 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LW61254381 | WA |
| Social Worker, Clinical | 1041C0700X | 09926943 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA); Practitioner - Clinical Social Worker (CO); Practitioner - Clinical Social Worker (WA) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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