Susan Jacobson is a Clinical in Columbia, Maryland. Susan Jacobson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Jacobson is 1114139607. The last update date is 2007-07-08.
Susan Jacobson's current location address is 5560 Sterrett Pl, Columbia, Maryland. You can contact this provider via phone number 4109972100 and fax number 4435830079. The mailing address for Susan Jacobson is 5560 Sterrett Pl, Columbia, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Jacobson |
|---|---|
| Address | 5560 Sterrett Pl, Columbia, Maryland |
| Phone Number | 4109972100 |
| Fax Number | 4435830079 |
| Sole Proprietor | N |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1114139607 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5560 Sterrett Pl |
|---|---|
| City | Columbia |
| State | Maryland (MD) |
| Post Code | 210442601 |
| Phone Number | 4109972100 |
| Fax Number | 4435830079 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4603 |
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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 assigned to Susan Jacobson by the Centers for Medicare & Medicaid Services?
The Susan Jacobson has been issued the NPI (National Provider Identifier) 1114139607 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Susan Jacobson's facilities are situated?
The facilities of Susan Jacobson are physically located at the following address: 5560 Sterrett Pl, Columbia, MD, 210442601.
What is Susan Jacobson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Jacobson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1114139607 assigned to Susan Jacobson?
The Susan Jacobson was issued its 1114139607 on 2007-05-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Susan Jacobson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan Jacobson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN