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STEPHANIE JACOB LICSW
NPI 1831838200
Social Worker - Clinical in Peabody, MA

Active since June 02, 2022
100 CORPORATE PL STE 304, PEABODY, MA 01960(978) 312-2212 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2025, Nov 24, 2024 (2 updates tracked since 2024).

About Stephanie Jacob Licsw NPPES

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

STEPHANIE JACOB LICSW (NPI 1831838200) is an individual clinical provider in Peabody, Massachusetts, licensed in Massachusetts (LICSW1120599) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1831838200
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE JACOBCredential: LICSW
Location Address100 CORPORATE PL STE 304Peabody, MA 01960-3809
Mailing Address100 Corporate Pl Ste 304Peabody, MA 01960-3809 · (978) 312-2212
Phone(978) 312-2212
Sole ProprietorNo
Enumeration DateJune 2, 2022
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1831838200 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 · LICSW1120599
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.
100 CORPORATE PL STE 304, Peabody, MA 01960
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Other Providers at the Same Location NPPES

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

SHANNON MCMAHON MSW, LICSW
Social Worker (Clinical)
100 CORPORATE PL STE 304
PEABODY, MA 01960
Essex County (339) 970-9494

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 Stephanie Jacob's NPI number?

The NPI number for Stephanie Jacob is 1831838200. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Where is Stephanie Jacob located?

Stephanie Jacob practices at 100 Corporate Pl Ste 304, Peabody, MA 01960. The listed phone number is (978) 312-2212.

What is Stephanie Jacob'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 Stephanie Jacob was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.