Active NPI
Melissa Charlynn Jacobs, LCSW
- Social Worker
- Sacramento, CA
National Provider Identifier
1003848599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS 19085
- Practice address
- 7001A East Pkwy
Suite 800
Sacramento, CA 95823-2501 - Phone
- (916) 875-2039
- Fax
- (916) 875-9775
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCS 19085 | CA | Primary |
Addresses
Primary practice location
7001A East Pkwy
Suite 800
Sacramento, CA 95823-2501
Mailing address
7001A East Pkwy
Suite 800
Sacramento, CA 95823-2501
Phone (916) 875-2039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 19085 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394755200000",
"number": "1003848599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001A EAST PKWY",
"address_2": "SUITE 800",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232501",
"telephone_number": "916-875-2039",
"fax_number": "916-875-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001A EAST PKWY",
"address_2": "SUITE 800",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232501",
"telephone_number": "916-875-2039",
"fax_number": "916-875-9775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "MELISSA",
"middle_name": "CHARLYNN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2014-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS 19085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.