Individual provider · Type 1 NPI

Kenneth William Jacob, LSW

Clinical Social Worker · Mansfield, OH

NPI number 1174780183 Active

Practice location

680 Park Ave W
Mansfield, OH 44906-3706

Call (419) 528-5993 Map

Fax (567) 560-5486

Other practice locations

  • 1451 Lucas Rd, Mansfield, OH 44903-8682 · (419) 589-5511

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X011389 (OH)
Clinical Social Worker Primary 1041C0700XS.0500567 (OH)

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…

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About NPI 1174780183

Kenneth William Jacob, LSW's National Provider Identifier is 1174780183, issued on May 19, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mansfield, OH. The record was last updated on Mar 7, 2019.