Melissa W Jacob, LCSW
Social Worker, Clinical in Stratford, Connecticut
1992767347- Practice location
- 1129 Essex Pl, Stratford, CT 06615-5850
- Phone
- 203-375-8140
- Fax
- 203-375-8050
- Last updated
- March 30, 2026
Melissa W. Jacob is a Social Worker, Clinical based in Stratford, CT. Melissa W. Jacob practices in Stratford, CT and has the professional credentials of LCSW. The NPI Number for Melissa W. Jacob is 1992767347 and holds a License No. 005167 (CT). The current practice location address for Melissa W. Jacob is 1129 Essex Pl, Stratford, CT 06615-5850 and can be reached out via phone at 203-375-8140 and via fax at 203-375-8050.
Provider Profile Details
- NPI Number
- 1992767347
- Provider Name
- Melissa W. Jacob
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1129 Essex Pl, Stratford, CT 06615-5850
- Phone Number
- 203-375-8140
- Fax Number
- 203-375-8050
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Other Names
- Melissa Wilson Jacob, LCSW (Former Name)
- Provider Enumeration Date
- April 3, 2006
- Last Update Date
- March 30, 2026
- Certification Date
- March 30, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1129 Essex Pl
Stratford, CT 06615-5850 - City
- Stratford
- State
- Connecticut
- Zip
- 06615-5850
- Phone Number
- 203-375-8140
- Fax Number
- 203-375-8050
Provider Business Mailing Address Details
- Address
- 1129 Essex Pl
Stratford, CT 06615-5867 - City
- Stratford
- State
- CT
- Zip
- 06615-5867
- Phone Number
- 203-257-8140
- Fax Number
- 203-375-8050
License Information
- License Number
- 005167
- License State
- CT
- 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. | |||
Other Social Worker, Clinical providers near Stratford, CT
View all Social Worker, Clinical providers in Stratford →- Alicia C Simpson, LMSWSocial Worker, Clinical · NPI 1962898429
- Angelica SampsonSocial Worker, Clinical · NPI 1932995172
- Anne Pretty, LCSWSocial Worker, Clinical · NPI 1275801433
- Ashley C Hampton, LCSWSocial Worker, Clinical · NPI 1881395127
- Barbara A Eiben, CSWSocial Worker, Clinical · NPI 1972671584
- Barry Rubin, LCSWSocial Worker, Clinical · NPI 1831107382
Frequently Asked Questions
What is the NPI number of Melissa W Jacob, LCSW?
The NPI number of Melissa W Jacob, LCSW is 1992767347. It was assigned on April 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Melissa W Jacob, LCSW?
Melissa W Jacob, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 005167.
Where does Melissa W Jacob, LCSW practice?
The practice location is 1129 Essex Pl, Stratford, CT 06615-5850. The office can be reached at 203-375-8140 (phone) or 203-375-8050 (fax).
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 1992767347 directly on the NPPES registry website.