MEDICARE: MARY JAMIA JACOBSEN LCSW, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	35000016A	IN
2	1041C0700X	Clinical Social Worker	34002287A	IN

General Provider Information

NPI Number	:	1356629414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY JAMIA JACOBSEN LCSW, LMFT

Provider Business Mailing Address
First Line	:	1515 N POST RD STE A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4213
Country	:	US
Telephone Number	:	317-282-3088
Fax Number	:	317-295-2555

Provider Business Practice Location Address
First Line	:	1515 N POST RD STE A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4213
Country	:	US
Telephone Number	:	317-282-3088
Fax Number	:	317-295-2555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2011
Last Update Date	:	12/27/2023

Similar Medicare Providers

1295715837 — COMMUNITY PEDIATRIC CENTER
Practice Location Address:

1515 N POST RD
INDIANAPOLIS, IN
46219-4213

Practice Phone: 317-898-5437
Practice Fax: 317-898-4970

1497778534 — DR. TIMOTHY E SCHAFER DDS
Practice Location Address:

1527 N POST RD
INDIANAPOLIS, IN
46219-4213

Practice Phone: 317-895-6713
Practice Fax: 317-895-6260

1851300354 — DR. PAUL STEVEN SMITH PH.D.
Practice Location Address:

1515 N POST RD STE A
INDIANAPOLIS, IN
46219-4213

Practice Phone: 317-282-3088
Practice Fax:

1659593903 — JAMES WILSON M.S.
Practice Location Address:

1523 N POST RD
INDIANAPOLIS, IN
46219-4213

Practice Phone: 317-899-4511
Practice Fax: 317-899-4512

1366674186 — COMMUNITY HOSPITALS OF INDIANA INC
Practice Location Address:

1515 N POST RD
INDIANAPOLIS, IN
46219-4213

Practice Phone: 317-898-5437
Practice Fax: 317-898-4970

1851797088 — HAYDEN ELLERY GURMAN
Practice Location Address:

1523 N POST RD
INDIANAPOLIS, IN
46219-4213

Practice Phone: 317-899-4511
Practice Fax:

Directions to “ MARY JAMIA JACOBSEN LCSW, LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.