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Jacob Venn Baca

Social Worker β€’ Seattle, WA

Active NPI 1881459956 Individual Practitioner Male Practitioner
Practice location in NPPES

611 12th Ave S
Seattle, WA 981442007

Call 2063249360 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

611 12th Ave S

Seattle, WA 981442007

Telephone 2063249360
Organization at the Same NPPES Address or Phone
Seattle Indian Health Board Facility NPI 1497820542

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Seattle and Washington

468 active clinicians are listed under Social Worker with a practice address in Seattle, WA (2,142 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Seattle

0.9% of these 468 clinicians have the CMS telehealth indicator.

2.6% of these 468 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-10
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES WA SC61684174

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Dr. Amy Chabitnoy , MD

Family Medicine

NPI 1396108957

Doctor of Medicine (M.D.)

Dr. Veronica Couture , MD

Psychiatry & Neurology - Psychiatry

NPI 1770792764

Doctor of Medicine (M.D.)

Dr. Chloe Craig , DMD, MPH

Dentist - General Practice

NPI 1215459995

Doctor of Dental Medicine, Master of Public Health

Dr. Debra Fischer , ARNP, PhD

Nurse Practitioner - Family

NPI 1598743106

Advanced Registered Nurse Practitioner, Doctor of Philosophy (Ph.D.)

NPI 1023085495

Doctor of Medicine (M.D.)

Dr. Kara Harvill , MD

Family Medicine

NPI 1427554229

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location July 10, 2026

Registered at 611 12TH AVE S, SEATTLE, WA 981442007 (Tel: 2063249360)

πŸ“
Updated Business Mailing Address July 10, 2026

Registered at 611 12TH AVE S, SEATTLE, WA 981442007 (Tel: 2063249360)

πŸ“
Updated Practice Location December 15, 2025

Registered at 4238 AUBURN WAY N, AUBURN, WA 980021311 (Tel: 2538767600)

πŸ“
Updated Business Mailing Address December 15, 2025

Registered at 6400 SOUTHCENTER BLVD, TUKWILA, WA 981882547 (Tel: 2069012000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2025

Social Worker (license number reported to NPPES: WA SC61684174)

πŸ“
Updated Practice Location June 07, 2025

Registered at 1901 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 981444801 (Tel: 2067936319)

πŸ“
Updated Business Mailing Address June 07, 2025

Registered at 223 14TH AVE E APT 102, SEATTLE, WA 981125254 (Tel: 5107096869)

βœ…
NPI Profile Active February 19, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 19, 2024

Registered at 915 S ORCHARD ST, TACOMA, WA 984652420 (Tel: 2534147461)

πŸ“
Business Mailing Address (Initial Record) February 19, 2024

Registered at 2102 N 105TH ST APT J102, SEATTLE, WA 981339526 (Tel: 5107096869)

πŸ‘€
Provider Name / Credentials (Initial Record) February 19, 2024

Recorded as JACOB BACA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 19, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1881459956
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2024
Last Update: July 10, 2026
Sole Proprietor: No

Other Social Workers in Seattle

All Social Workers in Seattle

Mailing Address

611 12th Ave S

Seattle, WA 981442007

Phone: 2063249360

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.