MRS. MARY W. JACOBS (NPI# 1871772632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871772632 |
| Entity Type | Individual |
| Full Name | MRS. MARY W. JACOBS |
| Credential | LICSW |
| Practice Address |
31 White Oak Rd Waban MA 02468-1322 |
| Practice Telephone | 6179692356 |
| Mailing Telephone | 6179692356 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
106248 | MA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
#106248 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MEDICARE B | JA P20772 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194173229 | Mary Katherine Jacobs | Speech-Language Pathologist | 6966 Milum Rd, Lead Hill, AR 72644-9000 | 2016-05-31 |
| 1093107112 | Mary Jacobs | Licensed Practical Nurse | 3810 Ne 14th St, Gainesville, FL 32609-2413 | 2015-02-26 |
| 1811973894 | Mary Amanda Jacobs | Dermatology | 200 Scenery Dr., State College, PA 16801-5602 | 2005-12-21 |
| 1801880414 | Mary E Jacobs | Specialist/Technologist | 4201 S Washington St, Marion, IN 46953-4974 | 2005-09-09 |
| 1477002087 | Mary Jacobs | Social Worker | 85 W Burnside Ave, Bronx, NY 10453-4015 | 2016-09-23 |
| 1144680448 | Mary Jacobs | Social Worker | 2173 N Ridge Rd E, Suite E, Lorain, OH 44055-3400 | 2016-02-29 |
| 1841622826 | Mary Elizabeth Jacobs | Nurse Practitioner | 4221 Charlar Dr, Holt, MI 48842-6804 | 2013-08-01 |
| 1548575509 | Mary Alexandra Jacobs | Counselor | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2010-08-15 |
| 1649491390 | Mary Kaye Jacobs | Marriage & Family Therapist | Family Care Center, 1425 Story Avenue, Louisville, KY 40206 | 2007-05-01 |
| 1275756397 | Mary Ann Jacobs | Social Worker | 721 W Maple St, Rawlins, WY 82301-5447 | 2007-04-10 |
| Street Address |
31 WHITE OAK RD |
| City | WABAN |
| State | MA |
| Zip Code | 02468-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934539 | Susan Mary Crowley | Social Worker | Waban Health Center, 20 Kinmonth Road, Newton, MA 02468 | 2018-09-05 |
| 1922200534 | Erin Beth Carpe | Dentist | 17 Ferncroft Road, Waban, MA 02468 | 2007-06-05 |
| 1770616534 | Laboratory for Stone Research | Clinical Medical Laboratory | 81 Wyman Street, Newton, MA 02468 | 2007-03-13 |
| 1457495111 | Margaret Selkin Fogel | Psychologist | 15 Homestead Street, Newton, MA 02468 | 2007-02-16 |
| 1619028743 | Patricia Anne Dean | Psychologist | 91 Wyman Street, Waban, MA 02468 | 2007-01-16 |
| 1225128663 | Sue M Sand | Psychologist | 32 Devonshire Rd, Newton, MA 02468 | 2006-10-14 |
| 1235246885 | Susan Browning Wadsworth | Psychologist | 410 Woodward St., Newton, MA 02468 | 2006-08-23 |
| 1184647539 | Cynthia Rose Shapiro | Dentist | 1957 Beacon Street, Waban, MA 02468 | 2006-07-26 |
| 1083633093 | Peggy Ellen Warren | Psychiatry & Neurology | 40 Windsor Road, Waban, MA 02468 | 2006-07-19 |
| 1467545798 | Sanford Marvin Portnoy | Psychologist | 35 Helene Rd, Waban, MA 02468-1024 | 2006-09-30 |
| Find all providers in zip 02468 | ||||
| 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 |
|---|---|---|---|---|
| 1518572486 | Cindy Penenberg Wechter | Social Worker | 21 Warren Rd, Waban, MA 02468-1222 | 2020-09-08 |
| 1376027714 | Kristin Dutcher Jonash | Social Worker | 130 Beethoven Ave, Waban, MA 02468-1728 | 2018-09-21 |
| 1750864088 | Adena P Geller | Social Worker | 41 Collins Rd, Waban, MA 02468-2202 | 2018-09-12 |
| 1952695066 | Letisha R Williams | Social Worker | 52 Wyman St, #1, Waban, MA 02468-1509 | 2011-06-06 |
| 1568588135 | Ellen Feldman Glick | Social Worker | 17 Dorset Rd, Waban, MA 02468-1457 | 2007-03-22 |
| 1235284530 | Diane Becker | Social Worker | 24 Plainfield St, Waban, MA 02468-1633 | 2007-01-24 |
| 1891843066 | Susan Elizabeth Aeschbach | Social Worker | 185 Allen Ave, Waban, MA 02468-1734 | 2007-01-06 |
| 1417014903 | Patricia Miller-katz | Social Worker | 5 Southwick Rd, Waban, MA 02468-2223 | 2007-01-03 |
| 1740347384 | Linda Comenitz Gelda | Social Worker | 45 Alban Rd, Waban, MA 02468-1934 | 2007-01-02 |
| 1215004494 | Rebecca M Cohan | Social Worker | 1370 Beacon St, Waban, MA 02468-1642 | 2006-11-30 |
| Find all providers in WABAN | ||||
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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.