Individual provider · Type 1 NPI

Mark Jacob, LCSW

Clinical Social Worker · Decatur, AL

NPI number 1245285295 Active

Practice location

251 Johnston St SE Ste 100
Decatur, AL 35601-2515

Mailing address

16 Moulton St E
Decatur, AL 35601-2310

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1081C (AL)

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 1245285295

Mark Jacob, LCSW's National Provider Identifier is 1245285295, issued on May 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Decatur, AL. The record was last updated on Jan 25, 2023.