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Jewelya M Ianniciello, SUDP,LICSW
Addiction (Substance Use Disorder) Counselor in Tacoma, Washington
NPI 1891984498

Jewelya M Ianniciello is an Addiction (Substance Use Disorder) Counselor based in Tacoma, WA and is specialized in Addiction (Substance Use Disorder). Jewelya M Ianniciello practices in Tacoma, WA and has the professional credentials of SUDP,LICSW. The NPI Number for Jewelya M Ianniciello is 1891984498 and holds a License No. LW60174863 (Washington).

The current practice location address for Jewelya M Ianniciello is 5001 112Th St E, Tacoma, WA and can be reached out via phone at 253-460-0062.

Location: 5001 112Th St E, Tacoma, WA, 98446-5307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891984498
Provider Name
Jewelya M Ianniciello
Credential
SUDP,LICSW
Provider Entity Type
Individual
Gender
Female
Address
5001 112Th St E, Tacoma, WA, 98446-5307
Phone Number
253-460-0062
Fax Number
Provider Enumeration Date
10/18/2007
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
5001 112Th St E
City
Tacoma
State
Washington
Zip
98446-5307
Phone Number
253-460-0062
Fax Number
person
Provider Business Mailing Address Details
Address
5001 112Th St E
City
Tacoma
State
Washington
Zip
98446-5307
Phone Number
253-460-0062
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP00005115 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LW60174863 (Washington)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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