Active NPI
Paula Jacobson, LISW-S
- Social Worker
- Avon Lake, OH
National Provider Identifier
1568896124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I 1281
- Practice address
- 32730 Walker Rd
Avon Lake, OH 44012-4100 - Phone
- (440) 933-8770
- NPI assigned
- Aug 30, 2013
- 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 | I 1281 | OH | Primary |
Addresses
Primary practice location
32730 Walker Rd
Avon Lake, OH 44012-4100
Mailing address
32730 Walker Rd
Avon Lake, OH 44012-4100
Phone (440) 933-8770
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
| License | State | Type | Specialty |
|---|---|---|---|
| I 1281 | OH | MD | Social Worker |
Interoperability endpoints
- pbc.paulajacobson@140094.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1568896124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32730 WALKER RD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440124100",
"telephone_number": "440-933-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32730 WALKER RD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440124100",
"telephone_number": "440-933-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "PAULA",
"name_prefix": "Ms.",
"credential": "LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-30",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I 1281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon Lake, OH
- Colleen M Hoy, COTA/L
- Mikayla Brooke Hyland
- Mary Margaret Imboden
- Independence Village Avon Lake LLC.
- Intrasync Solutions, Inc.
- Jeanne M James, LPN
- Carol Maddox Jaworski, M.S., CCC-SLP
- John S. Pyke III DDS Inc. (John Pyke Dentistry)
- Tina Marie Johnson
- Jubilee Healthcare, LLC (North Shore Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.