Individual provider · Type 1 NPI

David G. Jacob, L.C.S.W

Clinical Social Worker · Stratford, CT

NPI number 1881655751 Active

Practice location

1129 Essex Pl
Stratford, CT 06615-5850

Call (203) 377-3600 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X002392 (CT)

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 1881655751

David G. Jacob, L.C.S.W's National Provider Identifier is 1881655751, issued on Mar 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stratford, CT. The record was last updated on Jul 13, 2026.