MR. KENNETH WILLIAM JACOB


Address: 680 Park Ave W, Mansfield, OH 44906-3706
Phone: 4195285993

MR. KENNETH WILLIAM JACOB (NPI# 1174780183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174780183
Entity Type Individual
Full Name MR. KENNETH WILLIAM JACOB
Credential LSW
Practice Address 680 Park Ave W
Mansfield
OH 44906-3706
Practice Telephone 4195285993
Practice Fax Number 5675605486
Mailing Telephone 4195285993
Mailing Fax Number 5675605486
Enumeration Date 2008-05-19
Last Update Date 2019-03-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
011389 OH Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
S.0500567 OH Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1451 Lucas Rd, Mansfield, OH 449038682 4195895511

Other Providers KENNETH JACOB

NPI Name Taxonomy Address Enumeration
1437121829 Kenneth Michael Jacob Radiology 19460 Caladesi Dr, Fort Myers, FL 33967-5572 2006-02-01

Office Location

Street Address 680 PARK AVE W
City MANSFIELD
State OH
Zip Code 44906-3706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366443657 Gregory C. Heins Internal Medicine 680 Park Ave W, Mansfield, OH 44906-3706 2005-08-09
1629680855 Tina Kaufman Social Worker 680 Park Ave W, Mansfield, OH 44906-3706 2020-08-19
1497373864 Delanys Healthcare Clinic/Center 680 Park Ave W, Mansfield, OH 44906-3706 2020-07-11
1508480450 Alayna Heltz Counselor 680 Park Ave W, Mansfield, OH 44906-3706 2020-06-05
1699301861 Nathan A Robison Case Manager/Care Coordinator 680 Park Ave W, Mansfield, OH 44906-3706 2020-03-19
1952937773 Toni Jo Beauford Registered Nurse 680 Park Ave W, Mansfield, OH 44906-3706 2020-03-13
1215561220 Anthony B Brooks Case Manager/Care Coordinator 680 Park Ave W, Mansfield, OH 44906-3706 2020-02-28
1649819012 Kevin Jamal Muhammad Counselor 680 Park Ave W, Mansfield, OH 44906-3706 2020-01-02
1114565827 Martin Epps Suber Sr. Counselor 680 Park Ave W, Mansfield, OH 44906-3706 2019-12-12
1154967388 David J Morgante IIi Counselor 680 Park Ave W, Mansfield, OH 44906-3706 2019-11-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154920155 Jonathan Clevenger Pharmacist 1455 North Lexington-springmill Road, Ontario, OH 44906 2020-10-21
1366083297 Jennifer Robin Young Technician 60 Sherman Ave, Mansfield, OH 44906 2019-10-02
1639721905 Lora Harris Nurse Practitioner 1029 S. Trimble Rd, Mansfield, OH 44906 2019-07-16
1871098855 Med Gear Plus, LLC Durable Medical Equipment & Medical Supplies 1041 Park Ave W, Mansfield, OH 44906 2018-03-29
1912401209 Bradley Anderson Dietitian, Registered 1025 South Trimble Rd., Mansfield, OH 44906 2018-03-21
1104325182 Nancy Labaki Speech-Language Pathologist 2011 W. Fourth St., Mansfield, OH 44906 2018-02-06
1720518319 Stephen Anderson Counselor 680 Park Ave W., Mansfield, OH 44906 2017-06-15
1427422518 Jill A Waite Counselor 33 S. Lexington-springmill Road, Mansfield, OH 44906 2015-11-30
1992125397 Taryn Boyd Physical Therapist 1025 S Trimble, Mansfield, OH 44906 2014-04-24
1356760870 Sarah Brandyberry Social Worker 1025 S. Trimble Rd., Mansfield, OH 44906 2014-04-11
Find all providers in zip 44906

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194325407 Worlita L. Williams Social Worker 510 Rea St, Mansfield, LA 71052-2142 2020-10-27
1861010233 Amanda Suzanne Mcmorrow Social Worker 79 Cottage St, Mansfield, MA 02048-2301 2020-07-11
1578189908 Beth Ann Sommers-souder Social Worker Richland Correctional Institute, 1001 Olivesburg Road, Mansfield, OH 44905 2020-06-22
1457987398 Jolene Meisner Social Worker 31 S Academy St, Mansfield, PA 16933-1149 2020-03-22
1275194565 Jeanette Rene Holland Social Worker 2804 Matlock Rd, Mansfield, TX 76063-5003 2019-06-26
1750845921 Darlene Ann Schwartz I Social Worker 1 Old Colony Rd Apt 214, Mansfield, MA 02048-2185 2019-01-22
1316415375 Robbin Volkart Social Worker 158 Lawndale Rd, Mansfield, MA 02048-1648 2018-11-08
1942784244 Mary Rego Perry Social Worker 19 North White Pine Lane, Mansfield, MA 02048 2018-09-21
1942652904 Monica Alley Social Worker 59 Mill St, Mansfield, MA 02048-3211 2016-07-01
1376934018 Denise M Ramirez Social Worker 404 E Broad St Ste 600, Mansfield, TX 76063-1743 2015-02-17
Find all providers in MANSFIELD

Competitor

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City MANSFIELD
Zip Code 44906

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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