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

Mark Jacob, LCSW

Individual provider Clinical Social Worker · NPI 1245285295

Mark Jacob, LCSW is a Clinical Social Worker in Decatur, Alabama. Qualified in 1992, 34 years ago. Practices with Covenant Counseling and Consulting LLC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
34
Licensed in
AL
In the registry since
2006
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

251 Johnston St SE Ste 100
Decatur, AL 35601-2515
Phone: (256) 822-2375
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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 1081C (AL)

Record details

NPI number1245285295
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing address16 Moulton St E, Decatur, AL 35601-2310

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Covenant Counseling And Consulting Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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