MELISSA JACOBO (NPI# 1700017779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700017779 |
| Entity Type | Individual |
| Full Name | MELISSA JACOBO |
| Credential | LICSW, MAT |
| Practice Address |
73 High St Fl 3 Charlestown MA 02129-3026 |
| Practice Telephone | 6177248234 |
| Practice Fax Number | 6177263514 |
| Mailing Telephone | 6177248234 |
| Mailing Fax Number | 6177263514 |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
114918 | MA | Behavioral Health & Social Service Providers |
| Street Address |
73 HIGH ST FL 3 |
| City | CHARLESTOWN |
| State | MA |
| Zip Code | 02129-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1033738489 | Boston Health & Wellness, LLC | Physical Therapist | 250 First Aveneue, #506, Charlestown, MA 02129 | 2020-04-15 |
| 1134693534 | Martavia Richardson | Behavior Technician | 25 Samuel Morse Way Apt 862, 862, Charlestown, MA 02129 | 2019-01-18 |
| 1669940847 | Erika Marie Lundgren | Social Worker | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-11-06 |
| 1558845602 | Christopher Wayne Manzano | Specialist/Technologist | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-09-24 |
| 1023503216 | Justin E Karr | Student in an Organized Health Care Education/Training Program | 79/96 Thirteenth Street, Mgh Charlestown, Charlestown, MA 02129 | 2018-06-29 |
| 1184140162 | Hakan Ay | Psychiatry & Neurology | Mass General Hospital, 13th Street, Building 149-2303, Charlestown, MA 02129 | 2017-08-21 |
| 1396271748 | Acra Care and Recovery Associates, LLC | Clinic/Center | 529 Main Street, Suite 217, The Schraffts Building, Power House, Charlestown, MA 02129 | 2017-05-04 |
| 1003267964 | Allison E White | Student in an Organized Health Care Education/Training Program | Mgh Charlestown Health Ctr, 73 High St, Charlestown, MA 02129 | 2016-06-22 |
| 1588025258 | Adrienne Senneville | Physical Therapist | 529 Main St., Charlestown, MA 02129 | 2016-03-09 |
| Find all providers in zip 02129 | ||||
| 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 |
|---|---|---|---|---|
| 1669940847 | Erika Marie Lundgren | Social Worker | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-11-06 |
| 1649747171 | Kathleen Dunford | Social Worker | Home Base, One Constitution Wharf, Suite 140, Charlestown, MA 02129-0212 | 2018-11-02 |
| 1265931596 | Joseph T Wilkinson | Social Worker | 3949 Old Post Rd, Charlestown, RI 02813 | 2018-02-01 |
| 1013430321 | Nancy Gentleman | Social Worker | 2400 Market St, Charlestown, IN 47111-7816 | 2017-07-18 |
| 1760722128 | Amanda A. Datro | Social Worker | 23 Concord St Apt 2, Charlestown, MA 02129-2524 | 2013-02-22 |
| 1194036970 | Jessica Woods Buckley | Social Worker | 58 Sullivan St Unit 1, Charlestown, MA 02129-2433 | 2010-06-28 |
| 1851621221 | Judith Hill Chick | Social Worker | 3949 Old Post Rd Ste 100, Charlestown, RI 02813-2599 | 2010-01-07 |
| 1699908756 | Massachusetts General Hospital | Social Worker | 73 High St. Charlestown, Ma., Charlestown, MA 02129 | 2009-08-24 |
| 1972735926 | Tracey Ann Davey | Social Worker | 76 Monument St, Charlestown, MA 02129-2121 | 2009-08-10 |
| 1255570081 | Kori Nicholson | Social Worker | 60 Winthrop St, Charlestown, MA 02129-3315 | 2009-02-18 |
| Find all providers in CHARLESTOWN | ||||
| City | CHARLESTOWN |
| Zip Code | 02129 |
Please comment or provide details below to improve the information on MELISSA JACOBO.
| 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.