Mary Lou Jacobsen is a Clinical in Owatonna, Minnesota. Mary Lou Jacobsen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Lou Jacobsen is 1295824696. The last update date is 2021-02-10.
Mary Lou Jacobsen's current location address is 610 Florence Ave, Owatonna, Minnesota. You can contact this provider via phone number 5074512630 and fax number 5074558133. The mailing address for Mary Lou Jacobsen is 610 Florence Ave, Owatonna, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Lou Jacobsen |
|---|---|
| Address | 610 Florence Ave, Owatonna, Minnesota |
| Phone Number | 5074512630 |
| Fax Number | 5074558133 |
| Sole Proprietor | N |
| Credentials | MSSW, LICS |
NPI Number Detail
| NPI Number | 1295824696 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2021-02-10 |
Provider Mailing Address Detail
| Address | 610 Florence Ave |
|---|---|
| City | Owatonna |
| State | Minnesota (MN) |
| Post Code | 550604704 |
| Phone Number | 5074512630 |
| Fax Number | 5074558133 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 8206 |
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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 |
|---|---|---|---|
| 4G504WA | MN | BLUE CROSS BLUE SHIELD | |
| 118039 | MN | UCARE | |
| 62-20365 | MN | UNITED BEHAVIORAL HEALTH | |
| 74027600 | MN | -- | |
| HP20016 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary Lou Jacobsen by the Centers for Medicare & Medicaid Services?
The Mary Lou Jacobsen has been assigned the NPI (National Provider Identifier) 1295824696 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 address where Mary Lou Jacobsen is physically located?
The Mary Lou Jacobsen is situated at the following address: 610 Florence Ave, Owatonna, MN 550604704.
What is the Mary Lou Jacobsen's area of specialization and corresponding taxonomy classification?
The Mary Lou Jacobsen's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Mary Lou Jacobsen receive its 1295824696 assignment from the Centers for Medicare & Medicaid Services?
The Mary Lou Jacobsen was assigned its 1295824696 on 2006-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mary Lou Jacobsen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Lou Jacobsen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-10.