Jessica M Jacobs, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24963 Issued in MD

Practice address

1245 Plum Point Rd
Huntingtown, MD 20639-9248

Phone

(443) 550-9749

NPI assigned

Feb 14, 2025

Last updated

Feb 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1184429169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 HOWARD DR",
            "city": "PORT REPUBLIC",
            "state": "MD",
            "postal_code": "206762111",
            "telephone_number": "443-271-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 PLUM POINT RD",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206399248",
            "telephone_number": "443-550-9749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Dares Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784208",
            "country_code": "US",
            "telephone_number": "443-550-8460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Clyde Jones Rd",
            "address_purpose": "LOCATION",
            "city": "Sunderland",
            "state": "MD",
            "postal_code": "206899684",
            "country_code": "US",
            "telephone_number": "443-550-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MD",
            "license": "24963",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Huntingtown, MD
• Providers in Huntingtown, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.