MR. KENNETH WILLIAM JACOB LSW
NPI 1174780183
Social Worker - Clinical in Mansfield, OH

Q: What is Kenneth Jacob's NPI number?

The NPI number for Kenneth Jacob is 1174780183. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Q: What is Kenneth Jacob's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Jacob was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 19, 2008

680 PARK AVE W, MANSFIELD, OH 44906(419) 528-5993(567) 560-5486 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2019, Feb 13, 2019 (2 updates tracked since 2019).

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About Mr. Kenneth William Jacob Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH WILLIAM JACOB LSW (NPI 1174780183) is an individual clinical provider in Mansfield, Ohio, licensed in Ohio (S.0500567) and active in the NPI registry since May 2008. He maintains a secondary practice location in Mansfield.

NPPES Registry Identity

NPI1174780183

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. KENNETH WILLIAM JACOBCredential: LSW

Location Address680 PARK AVE WMansfield, OH 44906-3706

Mailing Address680 Park Ave WMansfield, OH 44906-3706 · (419) 528-5993 · Fax (567) 560-5486

Phone(419) 528-5993

Fax(567) 560-5486

Sole ProprietorNo

Enumeration DateMay 19, 2008

Last NPPES UpdateMarch 7, 20192 updates tracked since enumeration

✔ NPI 1174780183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · S.0500567

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 011389 (OH)

680 PARK AVE W, Mansfield, OH 44906

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Secondary Practice Location 1

Location 11451 Lucas RdMansfield, OH 44903-8682 · Phone (419) 589-5511 ext. 233

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALING HEARTS COUNSELING CENTER, LLC

Community/Behavioral Health