CAROLYN M JACOBY (NPI# 1568845188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568845188 |
| Entity Type | Individual |
| Full Name | CAROLYN M JACOBY |
| Credential | LCSW |
| Practice Address |
4850 S Thompson Ave Tacoma WA 98408 |
| Mailing Address |
4850 S Thompson Ave Tacoma WA 98408-5733 |
| Practice Telephone | 9416006656 |
| Mailing Telephone | 9416006656 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60614321 | WA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW11574 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LICSW | LW60614321 | 01 |
| FL | LCSW | SW11574 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1660 S Columbian Way, Seattle, WA 981081532 | 2067621010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497815112 | Carolyn Diane Jacoby | Social Worker | 853 Broadway, Suite 701, New York, NY 10003-4703 | 2006-12-11 |
| Street Address |
4850 S THOMPSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839597 | Michael David Clifton | Chiropractor | 1702 South 72nd Street, Tacoma, WA 98408 | 2017-09-05 |
| 1417405630 | Ashley Mae Grosso | Licensed Practical Nurse | 7011 S I St, Tacoma, WA 98408 | 2016-09-16 |
| 1265844385 | Kaitlyn Leigh Laube Ward | Podiatrist | 7808 Pacific Ave Ste 1, Tacoma, WA 98408 | 2014-05-22 |
| 1720315872 | Holly A Roach | Specialist | 414 So. 54th St., Tacoma, WA 98408 | 2009-11-11 |
| 1831328731 | Frederick Joseph Norrick Jr. | Massage Therapist | 5001 Pacific Avenue S, Integrative Body Therapeutics, Gibson Gardens Suite 422, Tacoma, WA 98408 | 2009-07-13 |
| 1528198264 | Susan Joline Henricksen | Massage Therapist | 6618 So L St, Tacoma, WA 98408 | 2007-03-06 |
| 1043364565 | Dawn Michelle Catlow | Massage Therapist | 6201 Pacific Avenue, Tacoma, WA 98408 | 2007-01-22 |
| 1538223227 | Joshua Bleustar | Counselor | 860 South 54th St, Tacoma, WA 98408 | 2006-12-20 |
| 1235291055 | Leonardo F Romero | Chiropractor | 7047 S D St., Ste. B, Tacoma, WA 98408 | 2006-12-15 |
| 1306958228 | Costless Pharmacy LLC | Pharmacy | 5431 Pacific Ave, Tacoma, WA 98408 | 2006-08-31 |
| Find all providers in zip 98408 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827551 | Heidi Elizabeth Hartz | Social Worker | 9040 Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-0001 | 2020-10-08 |
| 1184241556 | Michele Therese Peyton | Social Worker | 4652 E Q St, Tacoma, WA 98404-4528 | 2020-07-01 |
| 1689293433 | Zowa Saysan Thompson | Social Worker | 4847 S 7th St, Tacoma, WA 98405-1206 | 2020-04-12 |
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1740826593 | Kerry Ann Shaughnessy | Social Worker | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2019-11-26 |
| 1669039897 | Katherine Marie Ginn | Social Worker | 1402 S 11th St, Tacoma, WA 98405-3608 | 2019-05-22 |
| 1285112763 | Sheri Lynn Waller | Social Worker | 535 Dock St Ste 108, Tacoma, WA 98402-4629 | 2018-08-06 |
| 1003312612 | Jennifer I. Soto | Social Worker | 1432 N Baltimore St, Tacoma, WA 98406-2702 | 2018-04-03 |
| 1295233955 | Lori A Jensen | Social Worker | 317 M.l.k. Jr Way, Tacoma, WA 98405 | 2018-01-29 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on CAROLYN M JACOBY.
| 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.