Individual provider Active NPI

Jacob Bernard Bobrow

  • Clinical Social Worker
  • Northfield, IL
National Provider Identifier
1396507273
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.030224 Issued in IL
Practice address
310 Happ Rd Ste 250a
Northfield, IL 60093-3455
Phone
(847) 722-4637
NPI assigned
Jan 26, 2024
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.030224 IL Primary

Addresses

Primary practice location

310 Happ Rd Ste 250a
Northfield, IL 60093-3455

Mailing address

310 Happ Rd Ste 250a
Northfield, IL 60093-3455
Phone (847) 722-4637

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

State licenses

LicenseStateTypeSpecialty
149.030224ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Youth and Family Services Clinical PastSince Jan 28, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1396507273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HAPP RD STE 250A",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933455",
            "telephone_number": "847-722-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HAPP RD STE 250A",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933455",
            "telephone_number": "847-722-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBROW",
        "first_name": "JACOB",
        "middle_name": "BERNARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-26",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.030224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.