Alison Elizabeth Jacob, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

040264 Issued in NY

Practice address

1385 Ruffner Rd
Niskayuna, NY 12309-2537

Phone

(518) 377-2647

NPI assigned

Aug 15, 2009

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)

Enrolled

State licenses

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

{
    "created_epoch": "1250294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1508098138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 RUFFNER RD",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123092537",
            "telephone_number": "518-377-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 RUFFNER RD",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123092537",
            "telephone_number": "518-377-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "ALISON",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-15",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "040264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malene Kay Ingram, MD
• Farzana K Irani, M.D.
• Khushru Irani, MD
• J.M. Howells Counseling Associates, Inc.
• Kaili Anne Jackson, AGNP-C
• Rana Bitar Jacob, M.D.
• Heather Nicole Jansen, MS, APRN, FPMHNP
• Steven Ronald Jarrett, M.D.
• Kimberly Banker Jefferson, MA, CCC-SLP
• JJM Chiropractic, LLC

• Clinical Social Worker in Niskayuna, NY
• Providers in Niskayuna, 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 Apr 3, 2012; 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.