Provider Demographics
NPI:1972397750
Name:GOEDE, JESSICA (MED, MSW)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:GOEDE
Suffix:
Gender:
Credentials:MED, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 SEAVIEW AVE NW STE 160-4
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-6006
Mailing Address - Country:US
Mailing Address - Phone:605-371-6734
Mailing Address - Fax:
Practice Address - Street 1:7001 SEAVIEW AVE NW STE 160-4
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-6006
Practice Address - Country:US
Practice Address - Phone:605-371-6734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical