Active NPI
Jeannie Early Jacobs, LCSW
- Clinical Social Worker
- Red Bluff, CA
National Provider Identifier
1992938815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 16408
- Practice address
- 21660 Adobe Road
Red Bluff, CA 96080-9043 - Phone
- (530) 529-2335
- Fax
- (530) 529-2335
- NPI assigned
- Aug 26, 2009
- 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 | LCS 16408 | CA | Primary |
Addresses
Primary practice location
21660 Adobe Road
Red Bluff, CA 96080-9043
Mailing address
21660 Adobe Road
Red Bluff, CA 96080-9043
Phone (530) 529-2335
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 |
|---|---|---|---|
| LCS 16408 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1992938815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21660 ADOBE ROAD",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960809043",
"telephone_number": "530-529-2335",
"fax_number": "530-529-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21660 ADOBE ROAD",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960809043",
"telephone_number": "530-529-2335",
"fax_number": "530-529-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "JEANNIE",
"middle_name": "EARLY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 16408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bluff, CA
- Interim Assisted Care of Northern California (Interim HealthCare Personal Care & Support Serives)
- Interim Assisted Care of Northern California, Inc. (Interim HomeStyle Services)
- Kelli Anne Irving
- Michelle Ison
- Megan Jackson
- Morgan Jacobs, ISFC, OQP
- Colleen Carol Jaqua, REGISTERED NURSE
- Jeffrey W Grolig MD Inc
- Chyanne Destini Jean Jenkins
- Elias David Jennings
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.