Mary H Jacobsen, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW1014789 Issued in MA

Practice address

259 Massachusetts Avenue
Arlington, MA 02474

Phone

(781) 646-8918

Fax

(781) 646-8918

NPI assigned

Jan 22, 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

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245384635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 HIGHLAND AVENUE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024767823",
            "telephone_number": "781-646-8918",
            "fax_number": "781-646-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MASSACHUSETTS AVENUE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "02474",
            "telephone_number": "781-646-8918",
            "fax_number": "781-646-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "MARY",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1014789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Joel Isenberg, ED.D.
• IV Solutions,Inc.
• Bridget Ivanyi, DC
• Sarah Jackel
• Emma Jackson, DPT
• Michael Francis Jacques, PH.D.
• Sharon W Jacques, PH.D.
• Catherine A Jaffe, PMH. CNS-BC
• JBG, PC
• Stephanie Jean

• Clinical Social Worker in Arlington, MA
• Providers in Arlington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.