Mark Peter Jacobsen in Washington - Clinical
Mark Peter Jacobsen - NPI 1578732863
Mark Peter Jacobsen is a Clinical in Washington, District Of Columbia. Mark Peter Jacobsen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Peter Jacobsen is 1578732863. The last update date is 2008-02-21.
Mark Peter Jacobsen's current location address is 2607 Connecticut Ave Nw, Washington, District Of Columbia. You can contact this provider via phone number 7035211710. The mailing address for Mark Peter Jacobsen is 2607 Connecticut Ave Nw, Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Peter Jacobsen |
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Address | 2607 Connecticut Ave Nw, Washington, District Of Columbia |
Phone Number | 7035211710 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D., LIC |
NPI Number Detail
NPI Number | 1578732863 |
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Provider Enumeration Date | 2008-02-21 |
Last Updated Date | 2008-02-21 |
Provider Mailing Address Detail
Address | 2607 Connecticut Ave Nw |
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City | Washington |
State | District Of Columbia (DC) |
Post Code | 200081522 |
Phone Number | 7035211710 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LC303458 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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0001J475 | DC | BC/BS |
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What is the unique identifier code issued to Mark Peter Jacobsen by the Centers for Medicare & Medicaid Services?
The Mark Peter Jacobsen has been assigned the NPI (National Provider Identifier) 1578732863. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark Peter Jacobsen's facilities are situated?
The facilities of Mark Peter Jacobsen are physically located at the following address: 2607 Connecticut Ave Nw, Washington, DC, 200081522.
What is Mark Peter Jacobsen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Peter Jacobsen is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578732863 to Mark Peter Jacobsen?
The Centers for Medicare & Medicaid Services assigned the 1578732863 to Mark Peter Jacobsen on 2008-02-21.
When was the information regarding Mark Peter Jacobsen most recently updated?
The details pertaining to the Mark Peter Jacobsen, including its address, specialty, and other relevant information, were last refreshed on 2008-02-21.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY