Dustin Jacob, LICSW
NPI 1376967570 · Clinical Social Worker · Eagan, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dustin Jacob, LICSW is a Clinical Social Worker provider in Eagan, MN (NPI 1376967570).
Provider details
- NPI number
- 1376967570
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 149.016078 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5346 Lyndale Ave SMinneapolis, MN 55419-1230Phone: (612) 746-5888
Registry dates
- Enumerated
- 2014-02-07
- Last updated
- 2018-04-23
Frequently asked questions
- What is Dustin Jacob's NPI number?
- Dustin Jacob's National Provider Identifier (NPI) is 1376967570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dustin Jacob's specialty?
- Dustin Jacob is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Dustin Jacob located?
- Dustin Jacob's practice location on file with NPPES is 3450 Oleary Ln, Eagan, MN 55123-2340.
- What is Dustin Jacob's phone number?
- The practice phone number listed in the NPPES registry for Dustin Jacob is (651) 454-0114.
- Does Dustin Jacob accept Medicare?
- Dustin Jacob is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dustin Jacob's NPI active?
- Yes — Dustin Jacob's NPI (1376967570) is active in the NPPES registry as of the last update on 2018-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.