Jacobs, Suzanne Jacqueline
Jacobs, Suzanne Jacqueline is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacobs, Suzanne Jacqueline can be contacted via phone (774) 442-2853.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (774) 442-2853
Fax: (774) 443-7042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01586 | Rhode Island |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 111352 | Massachusetts |
Profile Details
| NPI number | 1043271513 |
|---|---|
| LBN Legal business name | Jacobs, Suzanne Jacqueline |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Nov 29th, 2020 - about 4 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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