Individual provider · Type 1 NPI

Kian Fay Jacobs, LCSW

Clinical Social Worker · Ormond Beach, FL

NPI number 1992923635 Active

Practice location

17 Juniper Dr
Ormond Beach, FL 32176-2405

Call (860) 817-3175 Map

Fax (386) 236-9000

Mailing address

108 Timberline Trail
Ormond Beach, FL 32174-4925

Other practice locations

  • 14 Aborn Private Rd, Ellington, CT 06029-3120 · (860) 817-3175

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X006388 (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 1992923635

Kian Fay Jacobs, LCSW's National Provider Identifier is 1992923635, issued on Apr 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ormond Beach, FL. The record was last updated on Aug 25, 2020.