Active NPI
Samantha Jacobs
- Social Worker
- Topeka, KS
National Provider Identifier
1518624592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11264
- Practice address
- 3601 SW 29TH St Ste 127
Topeka, KS 66614-2054 - Phone
- (785) 249-2569
- NPI assigned
- Nov 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11264 | KS | Primary |
Addresses
Primary practice location
3601 SW 29TH St Ste 127
Topeka, KS 66614-2054
Mailing address
3601 SW 29TH St Ste 127
Topeka, KS 66614-2054
Phone (785) 249-2569
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | samanthajacobsLMSW@gmail.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11264 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1518624592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 SW 29TH ST STE 127",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666142054",
"telephone_number": "785-249-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SW 29TH ST STE 127",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666142054",
"telephone_number": "785-249-2569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-24",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "11264",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "samanthajacobsLMSW@gmail.com",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Initial Contact",
"address_1": "3601 SW 29th St Ste 127",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666142054",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.