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

Stacy Angelic Jacobo

Individual provider Clinical Social Worker · NPI 1215580154

Stacy Angelic Jacobo is a Clinical Social Worker in Los Angeles, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
3

Practice location Address checks out

333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone: (323) 241-3841
Show map & directions

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

Additional practice locations (2)

  • 3031 S Vermont Ave, Los Angeles, CA 90007-3033 — (323) 373-2400
  • 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 — (323) 361-3849

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence ASW95529 (CA)
Clinical Social Worker Taxonomy 1041C0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215580154
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 19, 2019
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

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