David Jacobson is a Clinical in Grand Rapids, Michigan. David Jacobson practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Jacobson is 1417088725. The last update date is 2009-04-08.
David Jacobson's current location address is 40 Jefferson Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6163566245. The mailing address for David Jacobson is 40 Jefferson Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Jacobson |
|---|---|
| Address | 40 Jefferson Ave Se, Grand Rapids, Michigan |
| Phone Number | 6163566245 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LLMSW |
NPI Number Detail
| NPI Number | 1417088725 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2009-04-08 |
Provider Mailing Address Detail
| Address | 40 Jefferson Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495034304 |
| Phone Number | 6163566245 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801087860 |
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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 identification code issued to David Jacobson by the Centers for Medicare & Medicaid Services?
The David Jacobson has been assigned the NPI (National Provider Identifier) 1417088725 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where David Jacobson is located?
The David Jacobson is situated at the following address: 40 Jefferson Ave Se, Grand Rapids, MI, 495034304.
What is David Jacobson's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Jacobson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the David Jacobson receive the assignment of its 1417088725 from the Centers for Medicare & Medicaid Services?
The David Jacobson was issued its 1417088725 by the Centers for Medicare & Medicaid Services on 2007-03-08.
As of what date were the details pertaining to David Jacobson last refreshed?
The information related to the David Jacobson, including its address, specialty, and other relevant details, was last updated on 2009-04-08.