Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1114079811 Deactivated / Inactive NPI Male Practitioner

Randall Glen Jacobs , LCSW

Social Worker - Clinical • Minden, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Randall Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 16, 2007
NPI Deactivation Date October 05, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Randall Jacobs, LCSW was a registered Social Worker - Clinical practicing in Minden, NV. Throughout an active medical career spanning 15 years, Randall Jacobs provided care at the practice location at 1662 US HIGHWAY 395 N until profile deactivation on 2022-10-05.

Practice Location & Contact Primary Location

Practice Address

1662 Us Highway 395 N
Suite 209

Minden, NV 894234329

Telephone 7757819767
Fax 7752651841
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Minden, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Minden, NV (2230 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License NV 5275C

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Gail Jacobs , LCSW

Social Worker - Clinical

NPI 1053590760

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 05, 2022

Record deactivated on October 05, 2022

NPI Profile Active March 10, 2011

NPI status registered as active in NPPES database

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Updated Practice Location March 10, 2011

Registered at 1662 US HIGHWAY 395 N, SUITE 209, MINDEN, NV 894234329 (Tel: 7757819767)

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Updated Business Mailing Address March 10, 2011

Registered at 1662 US HIGHWAY 395 N, SUITE 209, MINDEN, NV 894234329 (Tel: 7757819767)

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Provider Name / Credentials Updated March 10, 2011

Recorded as RANDALL JACOBS, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2011

Social Worker (License #5275C in NV)

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Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114079811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: March 10, 2011
Deactivation Date: October 05, 2022

Mailing Address

1662 Us Highway 395 N, Suite 209

Minden, NV 894234329

Phone: 7757819767

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.