Active NPI
Louise Marie Jacob, L.M.S.W.
- Social Worker
- Yorktown Heights, NY
National Provider Identifier
1699965327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 083578
- Practice address
- 6 Old Tomahawk Street
Yorktown Heights, NY 10527 - Phone
- (914) 557-9350
- NPI assigned
- Jul 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Social Worker | 104100000X | 083578 | NY | Primary |
Addresses
Primary practice location
6 Old Tomahawk Street
Yorktown Heights, NY 10527
Mailing address
10 Lovell Street
P.O. Box 38
Lincolndale, NY 10540
Phone (914) 872-5272
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 |
|---|---|---|---|
| 083578 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1699965327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LOVELL STREET",
"address_2": "P.O. BOX 38",
"city": "LINCOLNDALE",
"state": "NY",
"postal_code": "10540",
"telephone_number": "914-872-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 OLD TOMAHAWK STREET",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "10527",
"telephone_number": "914-557-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOB",
"first_name": "LOUISE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "L.M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "083578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.