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

Individual provider Clinical Social Worker · NPI 1992923635

MS. Kian Fay Jacobs, LCSW is a Clinical Social Worker in Ormond Beach, Florida. Qualified in 2003, 23 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
23
Licensed in
CT
In the registry since
2007
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

17 Juniper Dr
Ormond Beach, FL 32176-2405
Phone: (860) 817-3175
Fax: (386) 236-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14 Aborn Private Rd, Ellington, CT 06029-3120 — (860) 817-3175

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 006388 (CT)

Record details

NPI number1992923635
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 20, 2007
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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