Individual provider · Type 1 NPI

Melissa W. Jacob, L.C.S.W

Clinical Social Worker · Stratford, CT

NPI number 1992767347 Active

Practice location

1129 Essex Pl
Stratford, CT 06615-5850

Call (203) 375-8140 Map

Fax (203) 375-8050

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X005167 (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 1992767347

Melissa W. Jacob, L.C.S.W's National Provider Identifier is 1992767347, issued on Apr 3, 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 Mar 30, 2026.