Healthcare Provider Details

I. General information

NPI: 1083545131
Provider Name (Legal Business Name): JESSIE HARSE, MSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S JEFFERSON ST STE 118
SPOKANE WA
99204-3142
US

IV. Provider business mailing address

2525 E. 29TH AVE STE 10B PMB 125
SPOKANE WA
99223-4857
US

V. Phone/Fax

Practice location:
  • Phone: 509-999-7178
  • Fax:
Mailing address:
  • Phone: 509-999-7178
  • Fax: 509-999-7178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JESSIE LORELL HARSE
Title or Position: OWNER
Credential: LICSW
Phone: 509-999-7178