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

Nicolette Jacobs

Individual provider Rehabilitation Counselor · NPI 1407438187

Nicolette Jacobs is a Clinical Social Worker in Las Vegas, Nevada. Qualified in 2021, 5 years ago. Practices with Phc of Nevada Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
5
Licensed in
NV
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1701 W Charleston Blvd Ste 300
Las Vegas, NV 89102-2313
Phone: (702) 405-2210
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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 11579-C (NV)
Rehabilitation Counselor Taxonomy 225C00000X

Record details

NPI number1407438187
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 22, 2021
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Phc Of Nevada Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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