Jacobson, Madeleine Kay

Jacobson, Madeleine Kay is an sole proprietor health care provider with primary practice located at 30 Lincoln St , Newton Highlands MA 02461-1527. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jacobson, Madeleine Kay can be contacted via phone (617) 332-8831.

Contact Information

Primary practice address
30 Lincoln St Newton Highlands MA 02461-1527
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1030563 Massachusetts

Profile Details

NPI number 1649469412
LBN Legal business name Jacobson, Madeleine Kay
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 2007 - about 17 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 1649469412 NPPES
Massachusetts Other JAPO2473 BLUE CROSS/BS INDEMNITY

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