Bertha Elizabeth Jacobs in Syracuse - Clinical
Bertha Elizabeth Jacobs - NPI 1316133382
Bertha Elizabeth Jacobs is a Clinical in Syracuse, New York. Bertha Elizabeth Jacobs practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bertha Elizabeth Jacobs is 1316133382. The last update date is 2007-09-24.
Bertha Elizabeth Jacobs's current location address is 226 Randolph Street, Syracuse, New York. You can contact this provider via phone number 3154926094. The mailing address for Bertha Elizabeth Jacobs is 226 Randolph Street, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bertha Elizabeth Jacobs |
|---|---|
| Address | 226 Randolph Street, Syracuse, New York |
| Phone Number | 3154926094 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW R |
NPI Number Detail
| NPI Number | 1316133382 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2007-09-24 |
Provider Mailing Address Detail
| Address | 226 Randolph Street |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 13205 |
| Phone Number | 3154926094 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 36843 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bertha Elizabeth Jacobs by the Centers for Medicare & Medicaid Services?
The Bertha Elizabeth Jacobs has been assigned the NPI (National Provider Identifier) 1316133382 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Bertha Elizabeth Jacobs's physical address?
The Bertha Elizabeth Jacobs is physically located at 226 Randolph Street, in the city of Syracuse, NY, with the postal code 13205.
What is Bertha Elizabeth Jacobs's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bertha Elizabeth Jacobs is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316133382 to Bertha Elizabeth Jacobs?
The Centers for Medicare & Medicaid Services originally issued the 1316133382 to Bertha Elizabeth Jacobs on 2007-09-24.
As of what date was the information pertaining to Bertha Elizabeth Jacobs, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bertha Elizabeth Jacobs, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-24.