Rebecca Jacobson, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002277 Issued in CT

Practice address

18 Old Hill Farms Road
Westport, CT 06880-3034

Phone

(203) 227-8764

Fax

(203) 222-7085

NPI assigned

May 31, 2007

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

Other identifiers 2

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487855862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OLD HILL FARMS RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803034",
            "telephone_number": "203-227-8764",
            "fax_number": "203-222-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OLD HILL FARMS ROAD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803034",
            "telephone_number": "203-227-8764",
            "fax_number": "203-222-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "140000227CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "002277",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Christopher Isacsson, PHARMD
• Beverly Gershon Isenberg, LPC
• Robert A Israely, M.D.
• J. Randolph Burnham PH.D.,P.C.
• Erin Jackson, LCSW
• Leigh Libling Jaffe, LMSW
• Cindy Lee James, PHD PSYCHOLOGIST
• Kanokwan Jatuparisuthiseen
• Christie L Jeffries, M.D.
• Tyrrell Robert Jenkins, M.D.

• Clinical Social Worker in Westport, CT
• Providers in Westport, CT by specialty
• Clinical Social Worker in Connecticut

• 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.