Jacob Daniel Dobransky, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33008291A Issued in IN

Practice address

420 N Niles Ave
South Bend, IN 46617-1918

Phone

(574) 647-8245

NPI assigned

Oct 22, 2024

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1568283638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52355 SCOTT ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466372956",
            "telephone_number": "574-323-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N NILES AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171918",
            "telephone_number": "574-647-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRANSKY",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33008291A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Favor LLC
• Divine Interventions Inc.
• Marie Kathleen Dix, MD
• Marquette Dixon, MA
• Shauntae Marie Dixon
• Maggie Dobrodt
• Douglas Dean Doctor, M.D.
• Grace Dodd
• Judy Dodd, LPN
• Marilyn Marie Dodd, MHC

• Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.