Lisa Donze Jacob is a Clinical in Mandeville, Louisiana. Lisa Donze Jacob practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Donze Jacob is 1629250261. The last update date is 2013-02-18.
Lisa Donze Jacob's current location address is 1445 W Causeway Approach, Mandeville, Louisiana. You can contact this provider via phone number 9857277993 and fax number 9857277016. The mailing address for Lisa Donze Jacob is 1445 W Causeway Approach, Mandeville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Donze Jacob |
|---|---|
| Address | 1445 W Causeway Approach, Mandeville, Louisiana |
| Phone Number | 9857277993 |
| Fax Number | 9857277016 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629250261 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2013-02-18 |
Provider Mailing Address Detail
| Address | 1445 W Causeway Approach |
|---|---|
| City | Mandeville |
| State | Louisiana (LA) |
| Post Code | 704713045 |
| Phone Number | 9857277993 |
| Fax Number | 9857277016 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7530 |
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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 Lisa Donze Jacob's 1629250261?
The Lisa Donze Jacob's NPI (National Provider Identifier) Number is 1629250261. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lisa Donze Jacob's physical address?
The Lisa Donze Jacob is physically located at 1445 W Causeway Approach, in the city of Mandeville, LA, with the postal code 704713045.
What is Lisa Donze Jacob's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa Donze Jacob is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Lisa Donze Jacob receive its 1629250261 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Donze Jacob was assigned its 1629250261 by the Centers for Medicare & Medicaid Services on 2007-12-05.
When was the information pertaining to Lisa Donze Jacob most recently updated or revised?
The details related to Lisa Donze Jacob, including its address, specialty, and other relevant information, were last updated or revised on 2013-02-18.
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