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

Kelly Marie Jacobs, LCSW, PMH-C

Individual provider Clinical Social Worker · NPI 1477422558

Kelly Marie Jacobs, LCSW, PMH-C is a Clinical Social Worker in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
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

2650 Ridge Ave
Evanston, IL 60201-1700
Phone: (847) 570-3853
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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 149017735 (IL)

Record details

NPI number1477422558
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , PMH-C
Sole proprietorNo
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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