MR. MARK J JACOBSON (NPI# 1801935531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801935531 |
| Entity Type | Individual |
| Full Name | MR. MARK J JACOBSON |
| Credential | LCSW |
| Practice Address |
1677 Eureka Rd Ste 203 Roseville CA 95661-3039 |
| Practice Telephone | 9167832633 |
| Practice Fax Number | 9167839721 |
| Mailing Telephone | 9167832633 |
| Mailing Fax Number | 9167839721 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
20685 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841643178 | Mark Jacobson | Counselor | 3170 N Federal Hwy Ste 206e, Lighthouse Point, FL 33064-6720 | 2016-07-21 |
| 1326375437 | Mark S Jacobson | Dentist | 800 Rose St Rm D632, Lexington, KY 40536-0297 | 2009-11-10 |
| 1770509002 | Mark Edwin Jacobson | Ophthalmology | 1260 N Dutton Ave Ste 160, Santa Rosa, CA 95401-7139 | 2006-07-13 |
| 1124059076 | Mark C. Jacobson | Allergy & Immunology | 911 N Elm St Ste 300, Hinsdale, IL 60521-3642 | 2006-07-06 |
| 1306894423 | Mark David Jacobson | Radiology | 769 Highway 466, Lady Lake, FL 32159-6340 | 2006-05-04 |
| 1831178318 | Mark I Jacobson | Pathology | 560 White Plains Rd Fl 6, Tarrytown, NY 10591-5113 | 2006-01-12 |
| 1528480944 | Mark Jacobson | Psychologist | 234 1/2 Washington Ave, Grand Haven, MI 49417-3307 | 2014-01-21 |
| 1053561449 | Mark Edward Jacobson | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2008-09-23 |
| 1760551915 | Mark David Jacobson | Orthopaedic Surgery | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2006-11-06 |
| 1992898100 | Mark E Jacobson | Optometrist | 3409 Jerome Ave, Bronx, NY 10467-1049 | 2006-10-02 |
| Street Address |
1677 EUREKA RD STE 203 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831615 | Gary Hupp Phd Lcsw and Associates Inc | Social Worker | 735 Sunrise Ave Ste 130, Roseville, CA 95661-4596 | 2020-01-30 |
| 1407407125 | Restorative Mental Wellness Center | Social Worker | 30550 Gratiot Ave Unit 66468, Roseville, MI 48066-6747 | 2019-09-24 |
| 1104327154 | Jean Anne Carll | Social Worker | 4033 Jerome Way, Roseville, CA 95747-9586 | 2018-02-26 |
| 1699205146 | Amanda Ellis,llc | Social Worker | 2960 Snelling Ave N Ste 210, Roseville, MN 55113-2458 | 2017-06-18 |
| 1629520622 | Steps One Step At A Time, LLC | Social Worker | 27730 Brinker St, Roseville, MI 48066-4850 | 2016-10-26 |
| 1588114433 | Jennifer Noricks | Social Worker | 28491 Utica Rd, Ste 106, Roseville, MI 48066-2593 | 2016-10-04 |
| 1043667587 | Andrea Mccormick | Social Worker | 2277 Highway 36 W Ste 310, Roseville, MN 55113-3830 | 2016-05-14 |
| 1770938714 | Lois Garriott | Social Worker | 18650 Florence St, Roseville, MI 48066-4815 | 2016-04-27 |
| 1598120321 | Lindsay Marie Ramirez | Social Worker | 1700 Highway 36 W Ste 130, Roseville, MN 55113-4054 | 2015-12-21 |
| 1417328766 | Lauren Cook | Social Worker | 1830 Sierra Gardens Dr Ste 10, Roseville, CA 95661-2942 | 2015-10-13 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.