Steven Jacob

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1885312 Issued in NY

Practice address

54 Knolls Dr N
Manhasset Hills, NY 11040-1143

Phone

(914) 659-9677

NPI assigned

May 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Rothschild Mental Health Counseling PLLC

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1427455971
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1477043305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 KNOLLS DR N",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401143",
            "telephone_number": "914-659-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 KNOLLS DR N",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401143",
            "telephone_number": "914-659-9677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2579 E 17th St Ste 28",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112353515",
            "country_code": "US",
            "telephone_number": "347-708-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099222",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "1885312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Psychiatry Services, P.C.
• Hope'S Place Speech Language Pathology Services, P.C.
• John Philip Incao, DDS
• Irine Kim, M.D. P.C.
• Gina T Jacob, DOCTORATE
• Christna T Jose, RPH
• Alexa Kalaygian
• Mary Kampas Araujo, MA, CCC-SLP
• Sajid Latif Khan, M.D.
• Afshan Khwaja, MLSW

• Clinical Social Worker in Manhasset Hills, NY
• Providers in Manhasset Hills, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.