Active NPI
Ashlyn Michelle Jacob, LCSW-C
- Clinical Social Worker
- Mount Airy, MD
National Provider Identifier
1578178901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26320
- Practice address
- 1311 S Main St Ste 202
Mount Airy, MD 21771-5457 - Phone
- (301) 829-2242
- Fax
- (833) 449-5168
- NPI assigned
- Sep 11, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0904019733 | VA | |
| Social Worker | 104100000X | 26320 | MD | |
| Clinical Social Worker | 1041C0700X | 26320 | MD | Primary |
Addresses
Primary practice location
1311 S Main St Ste 202
Mount Airy, MD 21771-5457
Mailing address
1311 S Main St Ste 202
Mount Airy, MD 21771-5457
Other practice location 1
237 W Patrick St
Frederick, MD 21701-6934
Phone (443) 472-3819
Other practice location 2
2204 Rogers Dr
Frederick, MD 21702-1588
Phone (443) 472-3819
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 |
|---|---|---|---|
| 0904019733 | VA | MD | Social Worker |
| 26320 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1578178901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 S MAIN ST STE 202",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 S MAIN ST STE 202",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715457",
"telephone_number": "301-829-2242",
"fax_number": "833-449-5168"
}
],
"practiceLocations": [
{
"address_1": "237 W Patrick St",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217016934",
"country_code": "US",
"telephone_number": "443-472-3819",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2204 Rogers Dr",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217021588",
"country_code": "US",
"telephone_number": "443-472-3819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOB",
"first_name": "ASHLYN",
"middle_name": "MICHELLE",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-11",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0904019733",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "26320",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "26320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.