Tracy Michelle Jacobs

Clinical Social Worker · Oregon, IL

Individual Active NPI

NPI number 1023655750

Practice location

1658 S Il Route 2
Oregon, IL 61061-9514
Phone
(815) 732-2499
Fax
(815) 732-6077

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NPI record

NPI
1023655750
Entity type
Individual (Type 1)
Enumeration date
December 2, 2019
Last updated
December 10, 2020
Certified
December 10, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.021732 IL

Mailing address

507 N 5TH St
Oregon, IL 61061-1203
Phone
(815) 262-4856

About Tracy Jacobs

Tracy Michelle Jacobs is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1658 S Il Route 2, Oregon, IL 61061-9514. The NPI number 1023655750 was assigned on December 2, 2019 and the record was last updated on December 10, 2020.

Tracy Jacobs lists a license in the registry: #149.021732 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracy Michelle Jacobs?

The NPI number is 1023655750.

What is the phone number of Tracy Jacobs?

The phone number listed for the practice location is (815) 732-2499.

Where is Tracy Jacobs located?

1658 S Il Route 2, Oregon, IL 61061-9514.

What is the taxonomy code for Tracy Jacobs?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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