Mark J Jacobson in Roseville - Clinical

Mark J Jacobson - NPI 1801935531

Mark J Jacobson is a Clinical in Roseville, California. Mark J Jacobson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark J Jacobson is 1801935531. The last update date is 2007-07-08.

Mark J Jacobson's current location address is 1677 Eureka Rd Ste 203, Roseville, California. You can contact this provider via phone number 9167832633 and fax number 9167839721. The mailing address for Mark J Jacobson is 1677 Eureka Rd Ste 203, Roseville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark J Jacobson
Address 1677 Eureka Rd Ste 203, Roseville, California
Phone Number 9167832633
Fax Number 9167839721
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1801935531
Provider Enumeration Date 2007-02-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1677 Eureka Rd Ste 203
City Roseville
State California (CA)
Post Code 956613039
Phone Number 9167832633
Fax Number 9167839721

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 20685
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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FAQs about Mark J Jacobson

What is the unique identifier code issued to Mark J Jacobson by the Centers for Medicare & Medicaid Services (CMS)?

The Mark J Jacobson has been assigned the NPI (National Provider Identifier) 1801935531. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Mark J Jacobson's physical address?

The Mark J Jacobson is physically located at 1677 Eureka Rd Ste 203, in the city of Roseville, CA, with the postal code 956613039.

What is the area of specialization for Mark J Jacobson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mark J Jacobson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Mark J Jacobson receive its 1801935531 assignment from the Centers for Medicare & Medicaid Services?

The Mark J Jacobson was assigned its 1801935531 by the Centers for Medicare & Medicaid Services on 2007-02-06.

When was the information regarding Mark J Jacobson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark J Jacobson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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