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

Jacob P Register, LCSW

Individual provider Clinical Social Worker · NPI 1174279244

Jacob P Register, LCSW is a Clinical Social Worker in Bloomington, Illinois. Qualified in 2019, 7 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

808 S Eldorado Rd Ste 102
Bloomington, IL 61704-6075
Phone: (309) 706-3190
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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 149023795 (IL)

Record details

NPI number1174279244
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 26, 2022
Last updated in NPPESFebruary 26, 2022
Certification dateFebruary 26, 2022
Mailing address1603 N Linden St, Normal, IL 61761-1474

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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