Barrie Robin Jacobsen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018431 Issued in PA

Practice address

600 Maple Ave Ste 3
Honesdale, PA 18431-1436

Phone

(570) 253-1005

NPI assigned

Oct 26, 2005

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

Not listed in the public Medicare enrollment file

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.

• Northeastern Rehabilitation Associates, PC

  • Physical Medicine & Rehabilitation Physician
  • Scranton, PA
  • NPI 1104878412
  NPD

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1780674044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAPLE AVE STE 3",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311436",
            "telephone_number": "570-253-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAPLE AVE STE 3",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311436",
            "telephone_number": "570-253-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Main St",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117772250",
            "country_code": "US",
            "telephone_number": "631-291-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "BARRIE",
        "middle_name": "ROBIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018431",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Horizon Dental Care at Cherry Ridge
• Patricia Murray Howell, NP-C
• John W Hubbard, OD
• Human Resources Center, Inc.
• Inicio Counseling LLC
• Crystal M James-Cobourn, D.C.
• Debra Lee Jenkins, PMHNP-BC
• Jennifer Stevens
• Jessica Mitschele
• Jessica Mitschele LCSW LLC

• Clinical Social Worker in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.