Joan Parks Jacobs

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10956 Issued in CT

Practice address

22 Abbey LN
Danbury, CT 06810-5230

Phone

(914) 646-1188

NPI assigned

Aug 26, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Jewish Family Services of Greenwich IncGroup PAC ID 2062497001, 18 clinicians

WCT Behavioral Health and Medication Management PLLCGroup PAC ID 8820480734, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jewish Family Services of Greenwich Inc

  • Clinical Social Worker
  • Greenwich, CT
  • NPI 1740450543
  Medicare reassignment Care Compare group NPD
• WCT Behavioral Health & Medication Management PLLC

  dba WCT Health & Wellness

  • Family Nurse Practitioner
  • Waterbury, CT
  • NPI 1285391474
  Medicare reassignment Care Compare group NPD
• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740
  Medicare reassignment NPD

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1770983967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 TITICUS ROAD",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "10560",
            "telephone_number": "914-646-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ABBEY LN",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105230",
            "telephone_number": "914-646-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JOAN",
        "middle_name": "PARKS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "663744",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Jacknow
• Kristen Jackson, MD
• Kristen Jackson, PT
• Nancy Louise Jacob, APRN
• Stephen Jacober, RPH
• Erin Lasher Jacobstein, PSY.D.
• Maria E Jacquez, APRN
• Garrett Jaffe
• Anushri Jain, D.D.S
• Kevin Rajesh Jain, M.D.

• Clinical Social Worker in Danbury, CT
• Providers in Danbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.