Individual provider Active NPI

Robin Anne Jacobs, L.C.S.W.

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1487898599
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS20041 Issued in CA
Practice address
1800 Fairburn Ave
Suite 106
Los Angeles, CA 90025-5959
Phone
(310) 213-7893
Fax
(310) 275-6914
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X LCS20041 CA
Clinical Social Worker 1041C0700X LCS20041 CA Primary

Addresses

Primary practice location

1800 Fairburn Ave
Suite 106
Los Angeles, CA 90025-5959

Mailing address

1800 Fairburn Ave
Suite 106
Los Angeles, CA 90025-5959
Phone (310) 213-7893

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS20041CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1487898599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FAIRBURN AVE",
            "address_2": "SUITE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255959",
            "telephone_number": "310-213-7893",
            "fax_number": "310-275-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FAIRBURN AVE",
            "address_2": "SUITE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255959",
            "telephone_number": "310-213-7893",
            "fax_number": "310-275-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ROBIN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "LCS20041",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.