Jacobson, Diana J

Jacobson, Diana J is an individual health care provider with primary practice located at 50 Piermont Ave , Nyack NY 10960. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jacobson, Diana J can be contacted via phone (845) 353-8322.

Contact Information

Primary practice address
50 Piermont Ave Nyack NY 10960
Phone: (845) 353-8322
Fax: (845) 353-8341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X R018103 New York

Profile Details

NPI number 1770652596
LBN Legal business name Jacobson, Diana J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1770652596 NPPES
New York MEDICAID 01758754
New York Other R018103

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