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KIMBERLY BRETT JAKOBSON
NPI 1912564469
Social Worker - Clinical in Ithaca, NY

Active since May 21, 2019
1627 TRUMANSBURG RD, ITHACA, NY 14850(504) 296-1859 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 13, 2023, May 21, 2019 (2 updates tracked since 2019).

About Kimberly Brett Jakobson NPPES

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

KIMBERLY BRETT JAKOBSON (NPI 1912564469) is an individual clinical provider in Ithaca, New York, licensed in New York (095300) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1912564469
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY BRETT JAKOBSON
Location Address1627 TRUMANSBURG RDIthaca, NY 14850-9213
Mailing Address1627 Trumansburg RdIthaca, NY 14850-9213 · (504) 296-1859
Phone(504) 296-1859
Sole ProprietorYes
Enumeration DateMay 21, 2019
Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1912564469 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 NY · 095300
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 ListedSocial WorkerTaxonomy 104100000X · License 106130 (NY)
1627 TRUMANSBURG RD, Ithaca, NY 14850
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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 Kimberly Jakobson's NPI number?

The NPI number for Kimberly Jakobson is 1912564469. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Kimberly Jakobson located?

Kimberly Jakobson practices at 1627 Trumansburg Rd, Ithaca, NY 14850. The listed phone number is (504) 296-1859.

What is Kimberly Jakobson'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 Kimberly Jakobson was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.