Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Gary Michael Jacobson, LCSW, CASAC

Individual provider Clinical Social Worker · NPI 1073692695

Mr. Gary Michael Jacobson, LCSW, CASAC is a Clinical Social Worker in New Paltz, New York. Practices as a sole proprietor. Licensed in Maine and New York.

Licensed in
ME, NY
In the registry since
2006
Specialties on file
2
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

7 Prospect St
New Paltz, NY 12561-1137
Phone: (845) 256-2220
Fax: (845) 255-9211
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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 R034699-1 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence ME266469 (ME)

Record details

NPI number1073692695
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CASAC
Sole proprietorYes
NPI enumeratedNovember 3, 2006
Last updated in NPPESJuly 8, 2007

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