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JACK JACOBSEN MSW, LCSW
NPI 1679751291
Social Worker - Clinical in Webster Groves, MO

Active since February 06, 2008
24 S GORE AVE, WEBSTER GROVES, MO 63119(314) 736-5446 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2021, Aug 6, 2020 (2 updates tracked since 2020).

About Jack Jacobsen Msw, Lcsw NPPES

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

JACK JACOBSEN MSW, LCSW (NPI 1679751291) is an individual clinical provider in Webster Groves, Missouri, licensed in Missouri (2007031620) and active in the NPI registry since February 2008. He maintains a secondary practice location in Sheridan.

NPPES Registry Identity

NPI1679751291
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACK JACOBSENCredential: MSW, LCSW
Location Address24 S GORE AVEWebster Groves, MO 63119-2910
Mailing Address3211 Alfred AveSaint Louis, MO 63116-1809 · (314) 569-9731
Phone(314) 736-5446
Sole ProprietorYes
Enumeration DateFebruary 6, 2008
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
✔ NPI 1679751291 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 MO · 2007031620
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.
24 S GORE AVE, Webster Groves, MO 63119
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Secondary Practice Location 1

Location 130 N Gould St Ste RSheridan, WY 82801-6317 · Phone (303) 517-3800

Other Providers at the Same Location NPPES 5

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

DR. PETER MCKNIGHT CRUMP DDS,MS
Dentist (Orthodontics and Dentofacial Orthopedics)
24 S GORE AVE
WEBSTER GROVES, MO 63119
St. Louis County (314) 962-6242
WEBSTER GROVES ORTHODONTICS LTD
Dentist (Orthodontics and Dentofacial Orthopedics)
24 S GORE AVE
SAINT LOUIS, MO 63119
St. Louis County (314) 962-6242
ANNEMARIE KATHERINE LOTH M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
24 S GORE AVE
WEBSTER GROVES, MO 63119
St. Louis County (314) 736-5446
MORGAN T BEAMAN MFN, RD, LD
Dietitian, Registered
24 S GORE AVE
SAINT LOUIS, MO 63119
St. Louis County (314) 804-1848
MR. CULLAN BRIAN MAY PLPC
Counselor (Professional)
24 S GORE AVE
WEBSTER GROVES, MO 63119
St. Louis County (314) 736-5446

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 Jack Jacobsen's NPI number?

The NPI number for Jack Jacobsen is 1679751291. It was assigned to this individual provider in the NPPES registry on February 6, 2008.

Where is Jack Jacobsen located?

Jack Jacobsen practices at 24 S Gore Ave, Webster Groves, MO 63119. The listed phone number is (314) 736-5446.

What is Jack Jacobsen'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 Jack Jacobsen was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.