Todd A Jacobson is a Clinical in The Dalles, Oregon. Todd A Jacobson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Todd A Jacobson is 1053479352. The last update date is 2007-07-09.
Todd A Jacobson's current location address is 419 E 7th St Ste 207, The Dalles, Oregon. You can contact this provider via phone number 5412965452 and fax number 5412964792. The mailing address for Todd A Jacobson is 419 E 7th St Ste 207, The Dalles, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd A Jacobson |
|---|---|
| Address | 419 E 7th St Ste 207, The Dalles, Oregon |
| Phone Number | 5412965452 |
| Fax Number | 5412964792 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1053479352 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 419 E 7th St Ste 207 |
|---|---|
| City | The Dalles |
| State | Oregon (OR) |
| Post Code | 970582676 |
| Phone Number | 5412965452 |
| Fax Number | 5412964792 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L2320 |
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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 |
|---|---|---|---|
| 139670 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Todd A Jacobson by the Centers for Medicare & Medicaid Services?
The Todd A Jacobson has been issued the NPI (National Provider Identifier) 1053479352 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Todd A Jacobson located?
The Todd A Jacobson is located at 419 E 7Th St Ste 207, The Dalles, OR 970582676.
What is Todd A Jacobson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Todd A Jacobson 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 1053479352 to Todd A Jacobson?
The Centers for Medicare & Medicaid Services originally issued the 1053479352 to Todd A Jacobson on 2006-12-05.
As of what date was the information regarding Todd A Jacobson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Todd A Jacobson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
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