Provider Demographics
NPI:1013392844
Name:VOSBEIN, JAIME LEE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:JAIME
Middle Name:LEE
Last Name:VOSBEIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MRS
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1307 E INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2571
Mailing Address - Country:US
Mailing Address - Phone:504-621-8033
Mailing Address - Fax:
Practice Address - Street 1:221 N WALL ST STE 202
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0822
Practice Address - Country:US
Practice Address - Phone:537-527-3202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW614611601041C0700X
WASA61107665104100000X
LA12676104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical