Individual provider · Type 1 NPI
Lynette Kaye Jacob, LCSW
Clinical Social Worker · Montross, VA
Practice location
290 Haulover Cir
Montross, VA 22520-8809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0904013293 (VA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
Another provider at this address
Other clinical social worker providers in Montross
About NPI 1093466476
Lynette Kaye Jacob, LCSW's National Provider Identifier is 1093466476, issued on Jan 17, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Montross, VA. The record was last updated on Apr 6, 2026.