Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Ms. Ellen Marie Jacob, LCSW, CDP

Clinical Social Worker in Venice, FL · enumerated 2023.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285415059

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Registry record

Entity type Individual (Type 1)

Name Ms. Ellen Marie Jacob

Credential LCSW, CDP

Sex Female

Practice address Venice, FL, 34292

Phone (904) 607-0160

Enumeration date Oct 9, 2023

Last updated in NPPES May 28, 2026

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 24099 (FL) Primary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 1881606 (ID) Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 089.013646161TELE (VT) Secondary

LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Ellen Jacob?

Ellen Jacob is registered in NPPES with the primary taxonomy of Clinical Social Worker. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-28.