Individual provider · Type 1 NPI

Kristine M. Jacobs, LCSW

Clinical Social Worker · Mount Pleasant, WI

NPI number 1861947574 Active

Practice location

8800 Washington Ave, Suite 100
Mount Pleasant, WI 53406-3701

Call (262) 633-3591 Map

Fax (262) 633-2619

Mailing address

9000 W Wisconsin Ave, Ms 958
Milwaukee, WI 53226-4874

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8333-123 (WI)

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 1861947574

Kristine M. Jacobs, LCSW's National Provider Identifier is 1861947574, issued on Aug 23, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mount Pleasant, WI. The record was last updated on Aug 23, 2016.