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Mr. Kenneth William Jacob, LSW
Clinical Social Worker in Mansfield, Ohio
NPI 1174780183

Kenneth William Jacob is a Clinical Social Worker based in Mansfield, OH and is specialized in Clinical. Kenneth William Jacob practices in Mansfield, OH and has the professional credentials of LSW. The NPI Number for Kenneth William Jacob is 1174780183 and holds a License No. 011389 (Ohio).

The current practice location address for Kenneth William Jacob is 680 Park Ave W, Mansfield, OH and can be reached out via phone at 419-528-5993 and via fax at 567-560-5486.

Location: 680 Park Ave W, Mansfield, OH, 44906-3706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174780183
Provider Name
Kenneth William Jacob
Credential
LSW
Provider Entity Type
Individual
Gender
Male
Address
680 Park Ave W, Mansfield, OH, 44906-3706
Phone Number
419-528-5993
Fax Number
567-560-5486
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
680 Park Ave W
City
Mansfield
State
Ohio
Zip
44906-3706
Phone Number
419-528-5993
Fax Number
567-560-5486
person
Provider Business Mailing Address Details
Address
680 Park Ave W
City
Mansfield
State
Ohio
Zip
44906-3706
Phone Number
419-528-5993
Fax Number
567-560-5486
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
S.0500567 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
011389 (Ohio)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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