MR. MARC N JACOBS LICSW
NPI 1669967410
Social Worker - Clinical in Medway, MA

Active since June 25, 2018

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Marc N Jacobs Licsw NPPES

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

MR. MARC N JACOBS LICSW (NPI 1669967410) is an individual clinical provider in Medway, Massachusetts, licensed in Massachusetts (104760) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1669967410
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MARC N JACOBSCredential: LICSW
Location Address4 LEWIS DRMedway, MA 02053-1033
Mailing Address4 Lewis DrMedway, MA 02053-1033 · (508) 533-6303
Sole ProprietorYes
Enumeration DateJune 25, 2018
NPI 1669967410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 104760
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.
4 LEWIS DR, Medway, MA 02053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Jacobs's NPI number?

The NPI number for Marc Jacobs is 1669967410. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Marc Jacobs located?

Marc Jacobs practices at 4 Lewis Dr, Medway, MA 02053. The listed phone number is (508) 533-6303.

What is Marc Jacobs's specialty?

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

When was this NPI record last updated?

The NPPES record for Marc Jacobs was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.