Jacobson, Elisa
Jacobson, Elisa is an individual health care provider with primary practice located at 655 E Jersey St Youth Case Management, Elizabeth NJ 07206-1259. 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, Elisa can be contacted via phone (908) 994-7380.Contact Information
Primary practice address
655 E Jersey St Youth Case Management
Elizabeth NJ 07206-1259
Phone: (908) 994-7380
Fax: (908) 994-7322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 44SC04855600 | New Jersey |
Profile Details
| NPI number | 1184777963 |
|---|---|
| LBN Legal business name | Jacobson, Elisa |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184777963 | NPPES |
| New Jersey | MEDICAID | 0023302 |
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