Active NPI
Jacob Scott Kaiser
- Clinical Social Worker
- Plantation, FL
National Provider Identifier
1184218414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW18057
- Practice address
- 7120 SW 19TH St
Plantation, FL 33317-5009 - Phone
- (954) 610-7060
- NPI assigned
- Feb 26, 2021
- Last updated
- May 31, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW18057 | FL | Primary |
| Clinical Social Worker | 1041C0700X | 18057 | FL | |
| Clinical Social Worker | 1041C0700X | 14282514-3501 | UT |
Addresses
Primary practice location
7120 SW 19TH St
Plantation, FL 33317-5009
Mailing address
7120 SW 19TH St
Plantation, FL 33317-5009
Phone (954) 610-7060
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18057 | FL | MD | Clinical Social Worker |
| 14282514-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780185600000",
"number": "1184218414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 SW 19TH ST",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333175009",
"telephone_number": "954-610-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 SW 19TH ST",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333175009",
"telephone_number": "954-610-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "JACOB",
"middle_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-26",
"last_updated": "2026-05-31",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW18057",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "18057",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "14282514-3501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.