Organization Active NPI

Laurel Anne Jacobs, LCSW, LLC

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1801469978
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAUREL ANNE JACOBS, LCSW, LLC
Practice address
109 W Bolton St
Savannah, GA 31401-6371
Phone
(912) 452-0604
Fax
(844) 927-4520
NPI assigned
Jul 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Laurel Jacobs, LCSWNPI 1932608627
Title
Owner, LCSW
Phone
(912) 452-0604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

109 W Bolton St
Savannah, GA 31401-6371

Mailing address

PO Box 13053
Savannah, GA 31416-0053
Phone (912) 452-0604

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laurelannejacobs@laurelannelcsw.gadirect.net Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1801469978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13053",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314160053",
            "telephone_number": "912-452-0604",
            "fax_number": "844-927-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W BOLTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314016371",
            "telephone_number": "912-452-0604",
            "fax_number": "844-927-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL ANNE JACOBS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "OWNER, LCSW",
        "authorized_official_telephone_number": "912-452-0604",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurelannejacobs@laurelannelcsw.gadirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "109 W Bolton St",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314016371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.