Stephanie Jacob, LICSW
Social Worker, Clinical in Peabody, Massachusetts
1831838200- Practice location
- 100 Corporate Pl Ste 304, Peabody, MA 01960-3809
- Phone
- 978-312-2212
- Fax
- —
- Last updated
- June 5, 2025
Stephanie Jacob is a Social Worker, Clinical based in Peabody, MA. Stephanie Jacob practices in Peabody, MA and has the professional credentials of LICSW. The NPI Number for Stephanie Jacob is 1831838200 and holds a License No. LICSW1120599 (MA). The current practice location address for Stephanie Jacob is 100 Corporate Pl Ste 304, Peabody, MA 01960-3809 and can be reached out via phone at 978-312-2212.
Provider Profile Details
- NPI Number
- 1831838200
- Provider Name
- Stephanie Jacob
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Corporate Pl Ste 304, Peabody, MA 01960-3809
- Phone Number
- 978-312-2212
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 2, 2022
- Last Update Date
- June 5, 2025
- Certification Date
- June 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Corporate Pl Ste 304
Peabody, MA 01960-3809 - City
- Peabody
- State
- Massachusetts
- Zip
- 01960-3809
- Phone Number
- 978-312-2212
Provider Business Mailing Address Details
- Address
- 100 Corporate Pl Ste 304
Peabody, MA 01960-3809 - City
- Peabody
- State
- MA
- Zip
- 01960-3809
- Phone Number
- 978-312-2212
License Information
- License Number
- LICSW1120599
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stephanie Jacob, LICSW?
The NPI number of Stephanie Jacob, LICSW is 1831838200. It was assigned on June 2, 2022 and is currently active in the NPPES registry.
What is the specialty of Stephanie Jacob, LICSW?
Stephanie Jacob, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW1120599.
Where does Stephanie Jacob, LICSW practice?
The practice location is 100 Corporate Pl Ste 304, Peabody, MA 01960-3809. The office can be reached at 978-312-2212 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831838200 directly on the NPPES registry website.