Sandra Leo Jacob is a Clinical in Hartford, Connecticut. Sandra Leo Jacob practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandra Leo Jacob is 1902943186. The last update date is 2015-12-15.
Sandra Leo Jacob's current location address is 675 Tower Ave, Hartford, Connecticut. You can contact this provider via phone number 8607142750 and fax number 8607148591. The mailing address for Sandra Leo Jacob is 675 Tower Ave, Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Leo Jacob |
|---|---|
| Address | 675 Tower Ave, Hartford, Connecticut |
| Phone Number | 8607142750 |
| Fax Number | 8607148591 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1902943186 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2015-12-15 |
Provider Mailing Address Detail
| Address | 675 Tower Ave |
|---|---|
| City | Hartford |
| State | Connecticut (CT) |
| Post Code | 61121273 |
| Phone Number | 8607142750 |
| Fax Number | 8607148591 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5319 |
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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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What is the unique 10-digit identifier code issued to Sandra Leo Jacob by the Centers for Medicare & Medicaid Services?
The Sandra Leo Jacob has been assigned the NPI (National Provider Identifier) 1902943186 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Sandra Leo Jacob is geographically located?
The Sandra Leo Jacob is physically situated at the following location: 675 Tower Ave, Hartford, CT, 61121273.
What is Sandra Leo Jacob's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sandra Leo Jacob is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1902943186 assigned to Sandra Leo Jacob?
The Sandra Leo Jacob was issued its 1902943186 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Sandra Leo Jacob most recently updated or refreshed?
The details pertaining to the Sandra Leo Jacob, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-15.