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Provider Profile

Ellen M. Jacob, LCSW, CDP

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At a glance

About Ellen Jacob

Ellen M. Jacob, LCSW, CDP is a clinical social worker based in Venice, FL. The provider's National Provider Identifier (NPI) is 1285415059.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2022

Specialty

Credentials & Licensing

FL licenceAs reported to the NPI registry
No. 24099As reported
ID licenceAs reported to the NPI registry
No. 1881606As reported
VT licenceAs reported to the NPI registry
No. 089.013646161TELEAs reported
NPINational Provider Identifier
1285415059Issued 2023

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Ellen M. Jacob, LCSW specialize in?

Ellen M. Jacob, LCSW is a clinical social worker in Venice, FL. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Ellen M. Jacob, LCSW located?

Ellen M. Jacob, LCSW is listed at 302 Falls of Venice Cir, Venice, FL 34292. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Ellen M. Jacob, LCSW's phone number?

The number on file is (904) 607-0160. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Ellen M. Jacob, LCSW?

Ellen M. Jacob, LCSW's National Provider Identifier is 1285415059. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Ellen M. Jacob, LCSW train?

Ellen M. Jacob, LCSW attended Other, graduating in 2022. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Ellen M. Jacob, LCSW have?

Ellen M. Jacob, LCSW has 4 years experience. Calculated from a graduation year of 2022, reported in the CMS National Downloadable File.

CMS public data

Is Ellen M. Jacob, LCSW's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Ellen M. Jacob, LCSW. If this is you, claiming it is free.

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