Gary Michael Jacobson in Rosendale - Clinical
Gary Michael Jacobson - NPI 1073692695
Gary Michael Jacobson is a Clinical in Rosendale, New York. Gary Michael Jacobson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Michael Jacobson is 1073692695. The last update date is 2007-07-08.
Gary Michael Jacobson's current location address is 6 Walnut Ln, Rosendale, New York. You can contact this provider via phone number 8456583606 and fax number 8456583606. The mailing address for Gary Michael Jacobson is 6 Walnut Ln, Rosendale, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Michael Jacobson |
|---|---|
| Address | 6 Walnut Ln, Rosendale, New York |
| Phone Number | 8456583606 |
| Fax Number | 8456583606 |
| Sole Proprietor | Y |
| Credentials | LCSW, CASA |
NPI Number Detail
| NPI Number | 1073692695 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6 Walnut Ln |
|---|---|
| City | Rosendale |
| State | New York (NY) |
| Post Code | 124729734 |
| Phone Number | 8456583606 |
| Fax Number | 8456583606 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R034699-1 |
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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 |
|---|---|---|---|
| 4491 | NY | CASAC | |
| ME266469 | ME | MAINE CLINICAL SOCIAL WOR | |
| R034699-1 | NY | LCSW |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gary Michael Jacobson?
The Gary Michael Jacobson has been issued the NPI (National Provider Identifier) 1073692695 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Gary Michael Jacobson is geographically located?
The Gary Michael Jacobson is physically situated at the following location: 6 Walnut Ln, Rosendale, NY, 124729734.
What is Gary Michael Jacobson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary Michael Jacobson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Gary Michael Jacobson receive the assignment of its 1073692695 from the Centers for Medicare & Medicaid Services?
The Gary Michael Jacobson was issued its 1073692695 by the Centers for Medicare & Medicaid Services on 2006-11-03.
As of what date were the details related to Gary Michael Jacobson most recently updated or revised?
The information pertaining to Gary Michael Jacobson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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