Provider Demographics
NPI:1720259724
Name:JACOBSON, JOSEPH ELDON JR (LCSW)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ELDON
Last Name:JACOBSON
Suffix:JR
Gender:M
Credentials:LCSW
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Mailing Address - Street 1:309 N VERMONT ST
Mailing Address - Street 2:
Mailing Address - City:SUGAR CREEK
Mailing Address - State:MO
Mailing Address - Zip Code:64054-1256
Mailing Address - Country:US
Mailing Address - Phone:816-935-6768
Mailing Address - Fax:816-776-6423
Practice Address - Street 1:811 S BUSINESS HIGHWAY 13
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MO
Practice Address - Zip Code:64067-1515
Practice Address - Country:US
Practice Address - Phone:877-344-3572
Practice Address - Fax:866-228-4492
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2025-08-06
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Provider Licenses
StateLicense IDTaxonomies
MO20080074981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical