JOHN JACOB


Address: 444 Center St, Manchester, CT 06040-3926
Phone: 8606463888

JOHN JACOB (NPI# 1245616549) 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) 1245616549
Entity Type Individual
Full Name JOHN JACOB
Practice Address 444 Center St
Manchester
CT 06040-3926
Mailing Address 995 Day Hill Rd
Windsor
CT 06095-1722
Practice Telephone 8606463888
Practice Fax Number 8606454132
Mailing Telephone 8607315522
Mailing Fax Number 8607315536
Enumeration Date 2015-08-10
Last Update Date 2019-01-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Other Providers JOHN JACOB

NPI Name Taxonomy Address Enumeration
1760755136 John Jacob Pharmacist 12091 Nw 2nd Drive, Coral Springs, FL 33071 2012-02-16
1386176691 John Jacob Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Internal Medicine, Shreveport, LA 71103-4228 2017-03-28
1346690948 John Jacob Psychiatry & Neurology 1000 Oakland Dr, Kalamazoo, MI 49008-1282 2016-06-15
1396009122 John Jacob Family Medicine 3884 Central Sarasota Pkwy, Dept 797, Sarasota, FL 34238-3046 2012-06-26
1801182662 John Doromal Jacob Surgery 3400 Spruce St, Department of Anesthesia Critical Care, Philadelphia, PA 19104-4238 2011-06-21

Office Location

Street Address 444 CENTER ST
City MANCHESTER
State CT
Zip Code 06040-3926

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730187634 Andrea S Barletta Nurse Practitioner 444 Center St, Manchester, CT 06040 2005-07-13
1497356844 Ashley Phillips Counselor 444 Center St, Manchester, CT 06040-3926 2020-11-03
1124629571 Jenelle Mansfield Counselor 444 Center St, Manchester, CT 06040-3926 2020-11-03
1023619475 Mary Middleton Counselor 444 Center St, Manchester, CT 06040-3926 2020-11-03
1104427558 Christina Torrey Counselor 444 Center St, Manchester, CT 06040-3926 2020-11-03
1952902306 Amani Gill Counselor 444 Center St, Manchester, CT 06040-3926 2020-11-03
1689275034 Chassidy Hamilton Counselor 444 Center St, Manchester, CT 06040-3926 2020-11-03
1447859210 Joyce Marie Garcia Counselor 444 Center St, Manchester, CT 06040-3926 2020-10-22
1356940126 Ashlie Alleyne Counselor 444 Center St, Manchester, CT 06040-3926 2020-10-22
1548868904 Courtney L Benitez Social Worker 444 Center St, Manchester, CT 06040-3926 2020-10-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710501333 Mackenzie Lawler Social Worker 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 2020-05-29
1386288009 Monica Diaz Social Worker 117 East Center Street, Suite A1, Manchester, CT 06040 2019-11-06
1346881596 Sheryl Andrine Henry Technician 185 Pine Street, Apt 014, Manchester, CT 06040 2019-09-30
1811550304 Edward Wahn Lee Student in an Organized Health Care Education/Training Program 130 Hartford Road, Manchester, CT 06040 2019-04-19
1538689534 Bernard Ashirifie Counselor 869 Main Street, Apt 3, Manchester, CT 06040 2017-06-21
1497275697 Justin David Chung Dentist 483 Middle Tpke W Ste 209, Manchester, CT 06040 2017-06-20
1114473436 Amanda Edgar Counselor 469 Center Street, Manchester, CT 06040 2016-08-28
1760831366 Samantha Micael Marriage & Family Therapist 200 West Center Street, Suite C-2-6, Manchester, CT 06040 2016-06-06
1962856179 Odelia Brew Nurse Practitioner 256 Hackmatack Street, Manchester, CT 06040 2016-04-14
1306217765 Stephen R Machattie Social Worker 843 Main St Ste 11, Manchester, CT 06040 2015-10-12
Find all providers in zip 06040

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
1730799099 T.r.u.e. Self Counseling Social Worker 642 Hilliard St Ste 1310, Manchester, CT 06042-2700 2020-08-03
1992328710 Cheryl Kinney Social Worker 623 Meramec Station Rd, Manchester, MO 63021-5550 2020-05-27
1649818857 Amanda Duenas Social Worker 26 Hamlin St, Manchester, CT 06040-5319 2019-12-18
1386288009 Monica Diaz Social Worker 117 East Center Street, Suite A1, Manchester, CT 06040 2019-11-06
1700344165 Morgan Moller Social Worker 200 W Center St Ste C-2-6, Manchester, CT 06040-4864 2019-03-05
1336615103 Sarah Canning Howroyd Social Worker 341 Bidwell St, Manchester, CT 06040-6470 2018-10-19
1023583374 Melissa K Bascom Social Worker C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 2018-10-12
1497239016 Erin Macdonald Lajeunesse Social Worker 182 Kearsarge St, Manchester, NH 03102-3402 2018-09-19
1316420987 Filomena Dasilva-clark Social Worker 284 N Bay St, Manchester, NH 03104-2324 2018-09-10
1386127009 Susannah Blass Dipasquale Social Worker 2 Pinewood Rd, Manchester, MA 01944-1036 2018-09-09
Find all providers in MANCHESTER

Competitor

Search similar providers

City MANCHESTER
Zip Code 06040

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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