Active NPI
Susan Marie Jakubowski, LCSW
- Clinical Social Worker
- Sarver, PA
National Provider Identifier
1194764605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW014591
- Practice address
- 347 North Pike Road
Sarver, PA 16055 - Phone
- (724) 448-2049
- Fax
- (724) 353-9901
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- 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 | CW014591 | PA | Primary |
Addresses
Primary practice location
347 North Pike Road
Sarver, PA 16055
Mailing address
347 North Pike Road
Sarver, PA 16055
Phone (724) 448-2049
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163979 | Other | VALUE OPTIONS VBH | |
| 00628800 | Other | HIGHMARK | |
| 1013320170001 | Medicaid | PA | |
| 056687 | Other | MAGELLAN |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194764605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 NORTH PIKE ROAD",
"city": "SARVER",
"state": "PA",
"postal_code": "16055",
"telephone_number": "724-448-2049",
"fax_number": "724-353-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 NORTH PIKE ROAD",
"city": "SARVER",
"state": "PA",
"postal_code": "16055",
"telephone_number": "724-448-2049",
"fax_number": "724-353-9901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAKUBOWSKI",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS VBH",
"identifier": "163979",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "00628800",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013320170001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "056687",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.