Donna Withee Jacobs, LICSW
NPI 1003969064ActiveIndividual· Social Worker, Clinical· Great Barrington, MA
Social Worker, Clinical (LICSW) in Great Barrington, Massachusetts, licensed in MA and NY, with an NPI issued in January 2007. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1003969064 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Jan 20, 2007 |
| Last updated in NPPES | Oct 30, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 117190 | MA |
| Social Worker, Clinical | 1041C0700X | R018814 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MA) |
|---|
Education and affiliations
| Graduation year | 1976 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Other clinical social workers in Great Barrington
- 1073116075
- 1265974489
- 1336966217
- 1437909439
- 1508214560
- 1568251130
- 1578610507
- 1700814852
- 1922146208
- 1255091278
- 1366578478
- 1447307780
All 43 clinical social workers in Great Barrington · All clinical social workers in Massachusetts