Flora Jacobson is a Clinical in Forest Hills, New York. Flora Jacobson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Flora Jacobson is 1104973031. The last update date is 2007-07-08.
Flora Jacobson's current location address is 10470 Queens Blvd, Forest Hills, New York. You can contact this provider via phone number 7182756010 and fax number 7182756062. The mailing address for Flora Jacobson is 10470 Queens Blvd, Forest Hills, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Flora Jacobson |
|---|---|
| Address | 10470 Queens Blvd, Forest Hills, New York |
| Phone Number | 7182756010 |
| Fax Number | 7182756062 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1104973031 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10470 Queens Blvd |
|---|---|
| City | Forest Hills |
| State | New York (NY) |
| Post Code | 113753694 |
| Phone Number | 7182756010 |
| Fax Number | 7182756062 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | PR009463 |
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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 provider identifier assigned to Flora Jacobson?
The Flora Jacobson has been issued the NPI (National Provider Identifier) 1104973031 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Flora Jacobson?
The Flora Jacobson is situated at 10470 Queens Blvd, in the city of Forest Hills, state of NY, with the zip code 113753694.
What is the Flora Jacobson's area of specialization and corresponding taxonomy classification?
The Flora Jacobson'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 the Centers for Medicare & Medicaid Services issue the 1104973031 to Flora Jacobson?
The Flora Jacobson received its 1104973031 assignment from the Centers for Medicare & Medicaid Services on 2007-01-04.
When was the information pertaining to Flora Jacobson most recently updated or revised?
The details related to Flora Jacobson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1376546309
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