Jessie K Jacobs, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5308C Issued in AL

Practice address

206 4TH Ave SE
Decatur, AL 35601-2531

Phone

(256) 341-0811

NPI assigned

Apr 3, 2023

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagle Consulting, LLCGroup PAC ID 6608108824, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eagle Consulting, LLC

  • Professional Counselor
  • Decatur, AL
  • NPI 1881963221

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1417652009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SAGE OAK DR",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356037523",
            "telephone_number": "662-231-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 4TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012531",
            "telephone_number": "256-341-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Sage Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356037523",
            "country_code": "US",
            "telephone_number": "662-231-8485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JESSIE",
        "middle_name": "K",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5308C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Lee Jackson, M.D.
• Stacey N Jackson, L.C.S.W. P.I.P
• Christy Flannagin Jacob, M.S., LPC, NCC, BCC
• Mark Jacob, LCSW
• Jasmine Keamber Jacobs, CRNP
• Chanel M Jahn, BS
• Brian Ray James, M.D.
• John Nicolas James
• Lloyd James, M.D.
• Megan D James, RN

• Clinical Social Worker in Decatur, AL
• Providers in Decatur, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.