Active NPIIndividual providerSole proprietor

Mr. Bradley Jacobs, LCSW

Social Worker, Clinical in East Orange, New Jersey

NPI Number1043804289
Practice location
385 Tremont Ave, East Orange, NJ 07018-1023
Fax
—
Last updated
March 2, 2021

Bradley Jacobs is a Social Worker, Clinical based in East Orange, NJ. Bradley Jacobs practices in East Orange, NJ and has the professional credentials of LCSW. The NPI Number for Bradley Jacobs is 1043804289 and holds a License No. 085502 (NY). The current practice location address for Bradley Jacobs is 385 Tremont Ave, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000.

Provider Profile Details

NPI Number
1043804289
Provider Name
Bradley Jacobs
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
385 Tremont Ave, East Orange, NJ 07018-1023
Phone Number
973-676-1000
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 1, 2021
Last Update Date
March 2, 2021
Certification Date
March 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
385 Tremont Ave
East Orange, NJ 07018-1023
Zip
07018-1023
Phone Number
973-676-1000
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
42 Herbert Ter
West Orange, NJ 07052-1076
City
West Orange
State
NJ
Zip
07052-1076
Phone Number
917-697-2687

License Information

License Number
085502
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Bradley Jacobs, LCSW?

The NPI number of Mr. Bradley Jacobs, LCSW is 1043804289. It was assigned on March 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Mr. Bradley Jacobs, LCSW?

Mr. Bradley Jacobs, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 085502.

Where does Mr. Bradley Jacobs, LCSW practice?

The practice location is 385 Tremont Ave, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043804289 directly on the NPPES registry website.

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