Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gary W. Jacobs, LISW

Individual provider Clinical Social Worker · NPI 1346675121

Dr. Gary W. Jacobs, LISW is a Clinical Social Worker in Blue Ash, Ohio. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2013
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

11161 Kenwood Rd
Blue Ash, OH 45242-1817
Phone: (513) 769-4600
Fax: (513) 769-0304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.1303251 (OH)

Record details

NPI number1346675121
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedSeptember 11, 2013
Last updated in NPPESSeptember 11, 2013
Mailing address11161 Kenwood Rd, Blue Ash, OH 45242-1817

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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