Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396406245 Individual Practitioner Male Practitioner

Jack Wyatt Beam , LICSW

Social Worker • Shoreline, WA

Professional Overview & Biography Verified Profile Summary

Jack Beam, LICSW is a registered healthcare professional specializing in Social Worker in Shoreline, WA. Practice services are available at 17018 15TH AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17018 15th Ave Ne

Shoreline, WA 981555137

Telephone 2063627282
Associated Practice Facility / Clinic
🏢 Center For Human Services Facility NPI 1053498220

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Shoreline, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.3 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Shoreline, WA (2183 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License WA LW70069003

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Charis Mcconnel

Social Worker - Clinical

NPI 1003730318
Megan Fantozzi

Counselor - Mental Health

NPI 1013410836
Karleen Mars Tamte

Counselor - Mental Health

NPI 1033862172
Emily Riehl

Counselor

NPI 1043139058
Katie Horton

Student in an Organized Health Care Education/Training Program

NPI 1043878986
Erica Ewell

Counselor

NPI 1053144246

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 06, 2026

Registered at 17018 15TH AVE NE, SHORELINE, WA 981555137 (Tel: 2063627282)

📍
Updated Business Mailing Address August 06, 2026

Registered at 17018 15TH AVE NE, SHORELINE, WA 981555137 (Tel: 2063627282)

👤
Provider Name / Credentials Updated August 06, 2026

Recorded as JACK BEAM, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2026

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2022

Counselor (License #CG61247132 in WA)

NPI Profile Active January 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2022

Registered at 107 S DIVISION ST, SPOKANE, WA 992021510 (Tel: 5098384651)

📍
Updated Business Mailing Address January 03, 2022

Registered at 107 S DIVISION ST, SPOKANE, WA 992021510 (Tel: 5098384651)

👤
Provider Name / Credentials Updated January 03, 2022

Recorded as JACK BEAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 03, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396406245
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2022
Last Update: August 06, 2026
Sole Proprietor: No

Mailing Address

17018 15th Ave Ne

Shoreline, WA 981555137

Phone: 2063627282

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.