Elisa Jacobson, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SC04855600 Issued in NJ

Practice address

655 E Jersey St
Youth Case Management
Elizabeth, NJ 07206-1259

Phone

(908) 994-7380

Fax

(908) 994-7322

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184777963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E JERSEY ST",
            "address_2": "YOUTH CASE MANAGEMENT",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061259",
            "telephone_number": "908-994-7380",
            "fax_number": "908-994-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E JERSEY ST",
            "address_2": "YOUTH CASE MANAGEMENT",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061259",
            "telephone_number": "908-994-7380",
            "fax_number": "908-994-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "ELISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC04855600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shankar Iyer, DDS MDS
• J.M. Arrunategui, M.D., P.C.
• Tiera S Jackman
• Julianne Susan Jacob, MS,PA-C
• Peter Jacob, LSW
• Lisa M. Jacobson, D.M.D.
• Syed Jaffry, MD
• Sharon D Jakes, LCSW
• Henry Janc, PH.D.
• Ilana Hoff Janette

• Social Worker in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.