THOMAS JACOBS (NPI# 1255632071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255632071 |
| Entity Type | Individual |
| Full Name | THOMAS JACOBS |
| Credential | MSW |
| Practice Address |
2100 Goshen Rd Fort Wayne IN 46808-1493 |
| Mailing Address |
850 N Harrison St Attn: Anne Lawson Warsaw IN 46580-3163 |
| Practice Telephone | 2604713500 |
| Practice Fax Number | 2604714263 |
| Mailing Telephone | 5742677169 |
| Mailing Fax Number | 5742682377 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790201598 | Thomas Larue Jacobs | Nurse Practitioner | 475 S Columbia River Hwy Ste 105, Saint Helens, OR 97051-2860 | 2017-08-14 |
| 1760570725 | Thomas Price Jacobs | Internal Medicine | 161 Ft Washington Avenue, New York, NY 10032-3713 | 2006-10-11 |
| 1730114067 | Thomas A Jacobs | Podiatrist | 1900 Tenth Avenue, Ste 120, Columbus, GA 31901 | 2006-07-12 |
| 1285970178 | Thomas Q. Jacobs | Chiropractor | 2030 Bee Ridge Rd, Natural Healing Arts, Sarasota, FL 34239-6108 | 2012-12-20 |
| 1518229673 | Thomas A Jacobs | Dentist | 450 Sutter St, Suite #2028, San Francisco, CA 94108-4206 | 2012-06-13 |
| 1689893463 | Thomas Gregory Jacobs | Dentist | 1601 Rickenbacker Dr, Suite #7, Sun City Center, FL 33573 | 2007-04-24 |
| 1164561593 | Thomas Jacobs | Marriage & Family Therapist | 4500 Park Glen Rd, #150, St Louis Park, MN 55416-4871 | 2007-02-05 |
| 1336218395 | Thomas T Jacobs | Massage Therapist | 113 Willow Ln, Bristol, IL 60512-9711 | 2006-11-06 |
| Street Address |
2100 GOSHEN RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46808-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802887 | Shelly J Edwards | Marriage & Family Therapist | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2005-06-24 |
| 1144820192 | Nicholas Ray Brauchler | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-10-29 |
| 1063019610 | Markita R Powell | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-10-07 |
| 1922611458 | Chase Aaron Young | Social Worker | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-25 |
| 1962015404 | Zachary Brock | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-25 |
| 1356954887 | Ayomikun Ajani | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-25 |
| 1407467210 | Allyson Thammachack | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-14 |
| 1245841485 | Emily Meller | Social Worker | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-12 |
| 1598383457 | Jessica Mann | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-07-08 |
| 1669097762 | Zabrina Przybilla | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
| 1396142063 | Christina Ryder | Specialist/Technologist | 3946 Iceway, Fort Wayne, IN 46808 | 2014-11-25 |
| 1912090440 | Neighborcare of Indiana, LLC | Pharmacy | 3402 Congressional Pkwy, Ft. Wayne, IN 46808 | 2006-10-02 |
| 1619945888 | Beth Ann Herrell | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2006-03-14 |
| 1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
| 1750851168 | Tyler Cheney | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-28 |
| 1487123550 | Michaela Mcguire | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-19 |
| 1861961088 | Olivia Marquardt | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-16 |
| Find all providers in zip 46808 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587548 | Laura Raquel Rochford | Social Worker | 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 | 2020-10-30 |
| 1801407689 | Hand Along The Way, LLC | Social Worker | 4118 Sandhurst Dr, Fort Wayne, IN 46815-5430 | 2020-08-13 |
| 1588200604 | Shalynn Grace Bailey | Social Worker | 2625 Medford Dr, Fort Wayne, IN 46803-3132 | 2019-11-24 |
| 1912363375 | Jay Alan Bastian | Social Worker | 5004 Woodhurst Blvd, Fort Wayne, IN 46807-3134 | 2016-01-14 |
| 1669757225 | Denise Jensen | Social Worker | 12306 Goldeneyes Ct, Fort Wayne, IN 46845-9160 | 2011-10-14 |
| 1679743033 | Sandra Ellen Chauhan | Social Worker | 8708 Woodstream Dr, Fort Wayne, IN 46804-6564 | 2008-03-01 |
| 1184815102 | James Scott Ferraro | Social Worker | 12527 Carroll Creek Run, Fort Wayne, IN 46818-8780 | 2007-08-06 |
| 1487870531 | Michelle A. Hoffman | Social Worker | Lutheran Hospital- Social Services, 7950 W. Jefferson Blvd., Fort Wayne, IN 46804 | 2007-04-17 |
| 1417083486 | Deborah Mcculloch | Social Worker | 3737 Lake Ave, Fort Wayne, IN 46805-5554 | 2007-02-26 |
| 1063432425 | Diana Lynn Pierce | Social Worker | 10305 Dawsons Creek Blvd Ste C, Fort Wayne, IN 46825-1914 | 2006-07-20 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46808 |
Please comment or provide details below to improve the information on THOMAS JACOBS.
| 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.