Anne Jacobsen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904014842 Issued in VA

Practice address

1721 Sage LN
Blacksburg, VA 24060-2051

Phone

(540) 449-7189

NPI assigned

Aug 7, 2023

Last updated

Aug 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anne Jacobsen LLC

  • Clinical Social Worker
  • Blacksburg, VA
  • NPI 1013798362
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1144902297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 SAGE LN",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602051",
            "telephone_number": "540-449-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 SAGE LN",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602051",
            "telephone_number": "540-449-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lukas Jackson, DPT
• Minna R Jackson, LPC
• William Materson Jackson, CRNFA
• Megan Jacobs
• Steve E Jacobs, OD
• Kari James
• Katherine Penney Jamison, PHARMD
• Marcia Beard Jaudon, LCSW
• Jay M. Bass D.D.S. P.C. (NRV Family Dentistry)
• Jessica Jeffrey, DO

• Clinical Social Worker in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.