JACK JACOBSEN (MSW, LCSW) – Clinical Social Worker, NPI 1679751291

JACK JACOBSEN (MSW, LCSW) is a healthcare provider. based in Sheridan, Wyoming. specializing in Clinical Social Worker. They hold the professional credentials MSW, LCSW. They hold a License No. 2007031620 (MO). The NPI Number for JACK JACOBSEN (MSW, LCSW) is 1679751291

Main info

Male
Sole Proprietor
Name
JACK JACOBSEN (MSW, LCSW)
NPI
1679751291
Phone
(303) 517-3800
Address
30 N Gould St Ste R
Enumeration Date
6 February 2008
Last Update Date
19 January 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for JACK JACOBSEN (MSW, LCSW)

  • 30 N Gould St Ste R

    Sheridan, WY 828016317

    Phone: (303) 517-3800

    Type: Location

  • 412 S CLAY AVE LOWR LEVEL

    KIRKWOOD, MO 631225860

    Phone: (314) 914-5762

    Type: Location

  • 24 S GORE AVE

    WEBSTER GROVES, MO 631192910

    Phone: (314) 736-5446

    Type: Location

  • 3211, Alfred Avenue, Tower Grove South, City of Saint Louis, Missouri, 63116, United States

    SAINT LOUIS, MO 631161809

    Phone: (314) 569-9731

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82801)

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Reviews

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Frequently asked questions

What federal number belongs to JACK JACOBSEN (MSW, LCSW)?
The federal identifier for JACK JACOBSEN (MSW, LCSW) is NPI 1679751291.
Is JACK JACOBSEN (MSW, LCSW)'s NPI currently valid?
The extract we use shows JACK JACOBSEN (MSW, LCSW) as active.
What does JACK JACOBSEN (MSW, LCSW) treat or focus on?
Patients typically see JACK JACOBSEN (MSW, LCSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for JACK JACOBSEN (MSW, LCSW)?
The page summarizes Sheridan, Wyoming for JACK JACOBSEN (MSW, LCSW); expand the address list for detail.
What if Sheridan, Wyoming seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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