Jacobs, Simone
Jacobs, Simone is an sole proprietor health care provider with primary practice located at 6930 Carroll Ave Ste 610 , Takoma Park MD 20912-4498. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacobs, Simone can be contacted via phone (301) 563-9156.Contact Information
Primary practice address
6930 Carroll Ave Ste 610
Takoma Park MD 20912-4498
Phone: (301) 563-9156
Fax: (240) 491-5913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 14006 | Maryland |
Profile Details
| NPI number | 1417115494 |
|---|---|
| LBN Legal business name | Jacobs, Simone |
| Credentials | LCSW-C, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2008 |
| Last updated | Oct 26th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417115494 | NPPES |
| Maryland | MEDICAID | 416691400 |
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