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Deactivated NPI 1013361278 Deactivated / Inactive NPI Female Practitioner

Traci Jacobs

Social Worker • Wooster, OH

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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, Traci Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 14, 2016
NPI Deactivation Date May 10, 2023
Total Practice Duration ~7 Years of Practice (2016 – 2023)

Professional Overview & Biography Verified Profile Summary

Traci Jacobs was a registered Social Worker practicing in Wooster, OH. Throughout an active medical career spanning 7 years, Traci Jacobs provided care at the practice location at 104 SPINK ST until profile deactivation on 2023-05-10.

Practice Location & Contact Primary Location

Practice Address

104 Spink St

Wooster, OH 446913652

Telephone 3302648498
Associated Practice Facility / Clinic
🏢 Oneeighty, Inc. Facility NPI 1346267283

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Wooster, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.8 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
222 Specialists

Practicing in Wooster, OH (11526 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 Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH S0600308

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dawn Peters , MA, LPCC

Counselor - Professional

NPI 1033594221

Master of Arts, Licensed Professional Clinical Counselor

Karabella Hernandez

Counselor - Addiction (Substance Use Disorder)

NPI 1063180966
John Easton , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1073346391

Chemical Dependency Counselor Assistant

Jamie Gasser , CPRS

Peer Specialist

NPI 1083445332
Cherie Shanko , LSW

Social Worker - Clinical

NPI 1093230419

Licensed Social Worker

Amber Pittman

Counselor - Addiction (Substance Use Disorder)

NPI 1093399057

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 May 10, 2023

Record deactivated on May 10, 2023

NPI Profile Active April 14, 2016

NPI status registered as active in NPPES database

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Updated Business Mailing Address April 14, 2016

Registered at 104 SPINK ST, WOOSTER, OH 446913652 (Tel: 3302648498)

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Updated Practice Location April 14, 2016

Registered at 104 SPINK ST, WOOSTER, OH 446913652 (Tel: 3302648498)

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Provider Name / Credentials Updated April 14, 2016

Recorded as TRACI JACOBS

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2016

Social Worker (License #S0600308 in OH)

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Initial NPI Registration & Enumeration April 14, 2016

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: 1013361278
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2016
Last Update: April 14, 2016
Deactivation Date: May 10, 2023

Mailing Address

104 Spink St

Wooster, OH 446913652

Phone: 3302648498

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.