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

Mr. Kevin Paul Jacobson, LISW-S

Individual provider Clinical Social Worker · NPI 1063875961

Mr. Kevin Paul Jacobson, LISW-S is a Clinical Social Worker in Cleveland, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2016

Practice location Address checks out

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone: (216) 442-5194
Fax: (216) 445-7792
Show map & directions

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

Additional practice locations (1)

  • 17306 Madison Ave, Lakewood, OH 44107-3533 — (216) 543-5232

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.1600612 (OH)

Record details

NPI number1063875961
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedMarch 30, 2016
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021

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