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

Kristie Ann Jacobsen

Individual provider Social Worker · NPI 1144952797

Kristie Ann Jacobsen is a Social Worker in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2022

Practice location Address checks out

3631 Edison Rd Ste 2
South Bend, IN 46615-3715
Phone: (800) 270-3756
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 33007368A (IN)

Record details

NPI number1144952797
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2022
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022

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