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

Stephanie Jacob, LICSW

Individual provider Clinical Social Worker · NPI 1831838200

Stephanie Jacob, LICSW is a Clinical Social Worker in Peabody, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.

Licensed in
MA
In the registry since
2022
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

100 Corporate Pl Ste 304
Peabody, MA 01960-3809
Phone: (978) 312-2212
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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 LICSW1120599 (MA)

Record details

NPI number1831838200
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 2, 2022
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address100 Corporate Pl Ste 304, Peabody, MA 01960-3809

Other providers in Peabody