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MARY JACOBSON SW,SAC-IT
NPI 1912524976
Counselor - Addiction (Substance Use Disorder) in La Crosse, WI

Active since June 25, 2020
300 4TH ST N, LA CROSSE, WI 54601(608) 784-4357(608) 785-6122 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jacobson Sw,sac-it NPPES

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

MARY JACOBSON SW,SAC-IT (NPI 1912524976) is an individual addiction (substance use disorder) provider in La Crosse, Wisconsin, licensed in Wisconsin (19001-130) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1912524976
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY JACOBSONCredential: SW,SAC-IT
Location Address300 4TH ST NLa Crosse, WI 54601-3228
Mailing Address300 4th St NLa Crosse, WI 54601-3228 · (608) 784-4357 · Fax (608) 785-6122
Phone(608) 784-4357
Fax(608) 785-6122
Sole ProprietorNo
Enumeration DateJune 25, 2020
NPPES CertifiedJune 25, 2020
✔ NPI 1912524976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 19001-130
300 4TH ST N, La Crosse, WI 54601
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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.

ELIZABETH HENZE
Social Worker
300 4TH ST N
LA CROSSE, WI 54601
La Crosse County (608) 785-6101
CASSANDRA L FANELLI
Counselor (Mental Health)
300 4TH ST N
LA CROSSE, WI 54601
La Crosse County (608) 784-4357
LAURIE MATTI-JORE
Social Worker
300 4TH ST N
LA CROSSE, WI 54601
La Crosse County (608) 785-6202
TYLER S BLUSKE SAC-IT
Counselor (Addiction (Substance Use Disorder))
300 4TH ST N
LA CROSSE, WI 54601
La Crosse County (608) 792-5964
SHERRY ANN RAUTENBERG
Social Worker
300 4TH ST N
LA CROSSE, WI 54601
La Crosse County (608) 785-6101
STACEY WARGOWSKY
Social Worker
300 4TH ST N
LA CROSSE, WI 54601
La Crosse County (608) 785-6101
RICHARD BREWER
Social Worker (Clinical)
300 4TH ST N
LA CROSSE, WI 54601
La Crosse County (608) 785-6101
STEVE JOSEPHSON
Social Worker (Clinical)
300 4TH ST N
LA CROSSE, WI 54601
La Crosse County (608) 785-6101

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 Mary Jacobson's NPI number?

The NPI number for Mary Jacobson is 1912524976. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Mary Jacobson located?

Mary Jacobson practices at 300 4th St N, La Crosse, WI 54601. The listed phone number is (608) 784-4357.

What is Mary Jacobson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Jacobson was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.