Estela M Polo-Jacobsson in Riverside - Clinical
Estela M Polo-Jacobsson - NPI 1518055409
Estela M Polo-Jacobsson is a Clinical in Riverside, California. Estela M Polo-Jacobsson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Estela M Polo-Jacobsson is 1518055409. The last update date is 2021-11-30.
Estela M Polo-Jacobsson's current location address is 12691 Granite Pass Rd, Riverside, California. You can contact this provider via phone number 9514544720 and fax number 9514544720. The mailing address for Estela M Polo-Jacobsson is 12691 Granite Pass Rd, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Estela M Polo-Jacobsson |
|---|---|
| Address | 12691 Granite Pass Rd, Riverside, California |
| Phone Number | 9514544720 |
| Fax Number | 9514544720 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1518055409 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 12691 Granite Pass Rd |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925038425 |
| Phone Number | 9514544720 |
| Fax Number | 9514544720 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS21159 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LCS21159 | CA | LCSW |
Post Comment/ Review Below
What is the Estela M Polo-Jacobsson's 1518055409?
The Estela M Polo-Jacobsson's NPI (National Provider Identifier) Number is 1518055409. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Estela M Polo-Jacobsson's physical address?
The Estela M Polo-Jacobsson is physically located at 12691 Granite Pass Rd, in the city of Riverside, CA, with the postal code 925038425.
What is Estela M Polo-Jacobsson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Estela M Polo-Jacobsson is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did Estela M Polo-Jacobsson receive its 1518055409 assignment from the Centers for Medicare & Medicaid Services?
The Estela M Polo-Jacobsson was assigned its 1518055409 on 2006-10-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Estela M Polo-Jacobsson's information last updated?
The Estela M Polo-Jacobsson's information was last updated on 2021-11-30.