Donna Withee Jacobs in Great Barrington - Clinical
Donna Withee Jacobs - NPI 1003969064
Donna Withee Jacobs is a Clinical in Great Barrington, Massachusetts. Donna Withee Jacobs practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donna Withee Jacobs is 1003969064. The last update date is 2012-10-30.
Donna Withee Jacobs's current location address is 260 Park St, Great Barrington, Massachusetts. You can contact this provider via phone number 4133530027 and fax number 4133530027. The mailing address for Donna Withee Jacobs is 260 Park St, Great Barrington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna Withee Jacobs |
|---|---|
| Address | 260 Park St, Great Barrington, Massachusetts |
| Phone Number | 4133530027 |
| Fax Number | 4133530027 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1003969064 |
|---|---|
| Provider Enumeration Date | 2007-01-20 |
| Last Updated Date | 2012-10-30 |
Provider Mailing Address Detail
| Address | 260 Park St |
|---|---|
| City | Great Barrington |
| State | Massachusetts (MA) |
| Post Code | 12301139 |
| Phone Number | 4133530027 |
| Fax Number | 4133530027 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R018814 |
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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 |
|---|---|---|---|
| 50800 | NY | GHI - GROUP HEALTH INC. | |
| P407545 | NY | OXFORD | |
| 144811 | NY | VALUE OPTIONS |
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What is the unique identification code assigned to Donna Withee Jacobs by the Centers for Medicare & Medicaid Services?
The Donna Withee Jacobs has been issued the NPI (National Provider Identifier) 1003969064. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Donna Withee Jacobs located?
The Donna Withee Jacobs is located at 260 Park St, Great Barrington, MA 12301139.
What is Donna Withee Jacobs's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Donna Withee Jacobs's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003969064 to Donna Withee Jacobs?
The Centers for Medicare & Medicaid Services assigned the 1003969064 to Donna Withee Jacobs on 2007-01-20.
As of what date were the Donna Withee Jacobs's details last updated?
The information pertaining to the Donna Withee Jacobs, including its address, specialty, and other details, was most recently updated on 2012-10-30.