Jacobs, Danielle B

Jacobs, Danielle B is an individual health care provider with primary practice located at 711 W Adams St , Black River Falls WI 54615-5052. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jacobs, Danielle B can be contacted via phone (715) 284-5361.

Contact Information

Primary practice address
711 W Adams St Black River Falls WI 54615-5052
Phone: (715) 284-5361
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 7131-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7131-123 Wisconsin

Profile Details

NPI number 1689694135
LBN Legal business name Jacobs, Danielle B
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689694135 NPPES
Wisconsin MEDICAID 40980700

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