Stephanie Jacobs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW0207047 Issued in PA

Practice address

1100 Twin Stacks Dr
Dallas, PA 18612-8505

Phone

(570) 855-5369

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

No

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

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.

• Tara O'Donnell PSYD & Associates

  • Clinical Psychologist
  • Dallas, PA
  • NPI 1184422552
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1497314496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 PERRIN AVE",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187081433",
            "telephone_number": "570-764-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TWIN STACKS DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186128505",
            "telephone_number": "570-855-5369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E End Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187110030",
            "country_code": "US",
            "telephone_number": "570-824-3521 x27746",
            "fax_number": "570-819-5196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW0207047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Leigh Horan, MSPT
• William Robert Host, MD
• Kelcie Hromisin
• David P. Hutz, M.D.
• Marisa Irizarry
• Cheryl Marie Jayne, OTD, OTR/L
• JCR Century Dental Dal LLC
• Mindy Baiera Jenkins, LSW
• Matthew Evan Joseph, D.O.
• JS Counseling LLC

• Clinical Social Worker in Dallas, PA
• Providers in Dallas, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.