Jessica Lynn Endicott, LCSWA
Social Worker, Clinical in Tacoma, WA. Individual provider (NPI-1).
NPI number1154065993
StatusActive
Last updated in NPPESNov 28, 2025
Details
- NPI
- 1154065993
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lynn Endicott
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2022
- Certification date
- Nov 28, 2025
- Last updated
- Nov 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 15563272 | NC | Yes |
Practice location
9040 Jackson AveTacoma, WA 98431-0001
Phone 253-968-3498
Mailing address
2315 Moonseed LnCarthage, NC 28327-6235
Phone 509-867-9553
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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