Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DUSTIN JACOB, LICSW
Active Sole ProprietorDUSTIN JACOB, LICSW is a Clinical Social Worker healthcare provider located in EAGAN, Minnesota. NPI 1376967570 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · EAGAN, MN
Registration Details
- NPI Number
- 1376967570
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2014 (12.508863752331 yrs)
- Last Updated
- Apr 23, 2018
- Licenses
-
149.016078 (IL)27099 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3450 OLEARY LNEAGAN, MN, 551232340Browse MN providers · Browse ZIP 55123
- Phone
- 6514540114
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in EAGAN, MN
| Name | Credential | NPI |
|---|---|---|
| MS. PATRICE LAUER-ROBERTS | LICSW | 1750366167 |
| DR. RICHARD EDWIN CLOSE | DMIN, MA,LICSW, LMFT | 1457379026 |
| ROBERT JOHN DEJDAR | LICSW | 1215041694 |
| DONNA JEAN SNETTING | MSW LICSW | 1063518025 |
| MRS. BRITT ERIKA NYSTROMBALFE | LICSW | 1831290543 |
| JANE AUFMUTH | LICSW | 1619069879 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.