Individual
EMILY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MSW, LICSW, LCSW
Contact information
Practice address
6 HERMIT THRUSH RD, CAPE ELIZABETH, ME 04107-1402
(518) 414-4098
Mailing address
6 HERMIT THRUSH RD, CAPE ELIZABETH, ME 04107-1402
(518) 414-4098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
099344
NY
101YM0800X
Mental Health Counselor
2474
NH
101YM0800X
Mental Health Counselor
LC20011
ME
1041C0700X
Clinical Social Worker
123950
MA
1041C0700X
Clinical Social Worker
2474
NH
1041C0700X
Clinical Social Worker
Primary
LC20011
ME
1041C0700X
Clinical Social Worker
—
ME
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/01/2016
Last updated
08/18/2025
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