Susan Marie Jakubowski in Sarver - Clinical

Susan Marie Jakubowski - NPI 1194764605

Susan Marie Jakubowski is a Clinical in Sarver, Pennsylvania. Susan Marie Jakubowski practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Marie Jakubowski is 1194764605. The last update date is 2007-07-08.

Susan Marie Jakubowski's current location address is 347 North Pike Road, Sarver, Pennsylvania. You can contact this provider via phone number 7244482049 and fax number 7243539901. The mailing address for Susan Marie Jakubowski is 347 North Pike Road, Sarver, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Marie Jakubowski
Address 347 North Pike Road, Sarver, Pennsylvania
Phone Number 7244482049
Fax Number 7243539901
Sole Proprietor X
Credentials LCSW

NPI Number Detail

NPI Number 1194764605
Provider Enumeration Date 2006-06-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 347 North Pike Road
City Sarver
State Pennsylvania (PA)
Post Code 16055
Phone Number 7244482049
Fax Number 7243539901

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CW014591
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
163979 VALUE OPTIONS VBH
628800 HIGHMARK
1013320170001 PA --
56687 MAGELLAN

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FAQs about Susan Marie Jakubowski

What is the unique 10-digit identifier code assigned to Susan Marie Jakubowski by the Centers for Medicare & Medicaid Services?

The Susan Marie Jakubowski has been issued the NPI (National Provider Identifier) 1194764605 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Susan Marie Jakubowski is located?

The Susan Marie Jakubowski is situated at the following address: 347 North Pike Road, Sarver, PA, 16055.

What is Susan Marie Jakubowski's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Susan Marie Jakubowski's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Susan Marie Jakubowski receive the assignment of its 1194764605 from the Centers for Medicare & Medicaid Services?

The Susan Marie Jakubowski was issued its 1194764605 by the Centers for Medicare & Medicaid Services on 2006-06-06.

As of what date were the details pertaining to Susan Marie Jakubowski last refreshed?

The information related to the Susan Marie Jakubowski, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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