Active NPI
Adam Jacobs
- Clinical Social Worker
- Newhall, CA
National Provider Identifier
1215864293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 23504 Lyons Ave Ste 402
Newhall, CA 91321-5777 - Phone
- (661) 977-4747
- NPI assigned
- May 5, 2026
- Sex
- Male
- 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 | CA | Primary |
Addresses
Primary practice location
23504 Lyons Ave Ste 402
Newhall, CA 91321-5777
Mailing address
23504 Lyons Ave Ste 402
Newhall, CA 91321-5777
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1215864293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23504 LYONS AVE STE 402",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913215777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23504 LYONS AVE STE 402",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913215777",
"telephone_number": "661-977-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-05",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newhall, CA
- Susan Gail Igdaloff, M.D.
- Guadalupe Infante, BA
- Institute for Functional Health and Nutrition
- International Media Arts Corporation
- Cole Isbell Hampson
- James R Weagley, MD, Inc.
- Shadab Bahador Jannatipour, PSY.D.
- Michael C Jean, MD
- Gregory Dean Jenkins, M.D.
- Joanna Zioni, Marriage and Family Therapy, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.