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

Mr. Kenneth William Jacob, LSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174780183

Mr. Kenneth William Jacob, LSW is an Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2008
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

680 Park Ave W
Mansfield, OH 44906-3706
Phone: (419) 528-5993
Fax: (567) 560-5486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1451 Lucas Rd, Mansfield, OH 44903-8682 — (419) 589-5511

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence S.0500567 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 011389 (OH)

Record details

NPI number1174780183
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedMay 19, 2008
Last updated in NPPESMarch 7, 2019

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