Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Simone Jacobs, LCSW-C, LICSW

Individual provider Clinical Social Worker · NPI 1417115494

Simone Jacobs, LCSW-C, LICSW is a Clinical Social Worker in Takoma Park, Maryland. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
21
Licensed in
MD
In the registry since
2008
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

6930 Carroll Ave Ste 610
Takoma Park, MD 20912-4498
Phone: (301) 563-9156
Fax: (240) 491-5913
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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 14006 (MD)

Record details

NPI number1417115494
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C , LICSW
Sole proprietorYes
NPI enumeratedMay 27, 2008
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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