Active NPI
David M Jacobson, MSW
- Clinical Social Worker
- Harlingen, TX
National Provider Identifier
1114215159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-11564
- Practice address
- 2701 S 77 Sunshinestrip
Harlingen, TX 78550-8318 - Phone
- (956) 430-9307
- NPI assigned
- Jul 12, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-11564 | AZ | Primary |
Addresses
Primary practice location
2701 S 77 Sunshinestrip
Harlingen, TX 78550-8318
Mailing address
2901 Haine Dr
Harlingen, TX 78550-7813
Phone (956) 430-9307
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 |
|---|---|---|---|
| LCSW-11564 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1114215159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 HAINE DR",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785507813",
"telephone_number": "956-430-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 S 77 SUNSHINESTRIP",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508318",
"telephone_number": "956-430-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-12",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-11564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.