Active NPI
Jessica Jacobs, LCSW
- Clinical Social Worker
- Manassas, VA
National Provider Identifier
1972960169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007381
- Practice address
- 9720 Capital CT
Suite 301, Office 3
Manassas, VA 20110-2044 - Phone
- (703) 282-8761
- NPI assigned
- Jan 20, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904007381 | VA | Primary |
Addresses
Primary practice location
9720 Capital CT
Suite 301, Office 3
Manassas, VA 20110-2044
Mailing address
9720 Capital CT
Suite 301, Office 3
Manassas, VA 20110-2044
Phone (703) 282-8761
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 |
|---|---|---|---|
| 0904007381 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1972960169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9720 CAPITAL CT",
"address_2": "SUITE 301, OFFICE 3",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201102044",
"telephone_number": "703-282-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9720 CAPITAL CT",
"address_2": "SUITE 301, OFFICE 3",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201102044",
"telephone_number": "703-282-8761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "JESSICA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-20",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.