Joelle Jacobs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P011454 Issued in NC

Practice address

104 N Main St
Louisburg, NC 27549-2516

Phone

(919) 496-7781

NPI assigned

May 31, 2017

Sex

Female

Sole proprietor

No

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.

• Morning Glory Counseling Services, PLLC

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1801780762

  Clinical

  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578091864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 CAMERON WOODS DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275233721",
            "telephone_number": "919-455-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492516",
            "telephone_number": "919-496-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JOELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Horner, COTA/L
• Howard G Yee, DMD PA
• Michelle Callahan Hughes, MA, LPA, HSP-A
• Lauretta Ihenatu
• Impact Healthcare, P.a.
• James G. Hardy DDS
• Larita T Jenkins
• Rebecca Ann Jester
• Quenetta Michelle Johnson, LPCA
• Dian Jones

• All providers in Louisburg, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.