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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK WYATT BEAM LICSW
NPI 1396406245
Social Worker in Shoreline, WA

Active since January 03, 2022
17018 15TH AVE NE, SHORELINE, WA 98155(206) 362-7282 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, May 2, 2022, Jan 3, 2022 (3 updates tracked since 2022).

About Jack Wyatt Beam Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK WYATT BEAM LICSW (NPI 1396406245) is an individual social worker in Shoreline, Washington, licensed in Washington (LW70069003) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1396406245
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJACK WYATT BEAMCredential: LICSW
Location Address17018 15TH AVE NEShoreline, WA 98155-5137
Mailing Address17018 15th Ave NeShoreline, WA 98155-5137 · (206) 362-7282
Phone(206) 362-7282
Sole ProprietorNo
Enumeration DateJanuary 3, 2022
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1396406245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in WA · LW70069003
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
17018 15TH AVE NE, Shoreline, WA 98155
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMSEY VIRGIL RAMSEY LMFT, IEDS
Marriage & Family Therapist
17018 15TH AVE NE
SHORELINE, WA 98155
King County (206) 601-5186
MYLINH BUI
Counselor
17018 15TH AVE NE
SHORELINE, WA 98155
King County (206) 288-9010
KARLEEN MICHAEL MARS TAMTE
Counselor (Mental Health)
17018 15TH AVE NE
SHORELINE, WA 98155
King County (206) 362-7282
EMILY ANN RIEHL
Counselor
17018 15TH AVE NE
SHORELINE, WA 98155
King County (206) 362-7282
RICHARD RUNGE
Case Manager/Care Coordinator
17018 15TH AVE NE
SHORELINE, WA 98155
King County (206) 369-1224
KATIE DORAINE HORTON
Student in an Organized Health Care Education/Training Program
17018 15TH AVE NE
SHORELINE, WA 98155
King County (206) 362-7282
ERICA EWELL
Counselor
17018 15TH AVE NE
SHORELINE, WA 98155
King County (206) 362-7282
CENTER FOR HUMAN SERVICES
Clinic/Center (Rehabilitation, Substance Use Disorder)
17018 15TH AVE NE
SHORELINE, WA 98155
King County (206) 362-7282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Beam's NPI number?

The NPI number for Jack Beam is 1396406245. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Jack Beam located?

Jack Beam practices at 17018 15th Ave NE, Shoreline, WA 98155. The listed phone number is (206) 362-7282.

What is Jack Beam's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jack Beam was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.