Active NPIIndividual provider

Sandia Demosthenesjacob, LMSW, CASAC

Social Worker in Mount Vernon, New York

NPI Number1417442146
Practice location
256 Washington St, Mount Vernon, NY 10553-1052
Fax
—
Last updated
June 25, 2018

Sandia Demosthenesjacob is a Social Worker based in Mount Vernon, NY. Sandia Demosthenesjacob practices in Mount Vernon, NY and has the professional credentials of LMSW, CASAC. The NPI Number for Sandia Demosthenesjacob is 1417442146 and holds a License No. 099975 (NY). The current practice location address for Sandia Demosthenesjacob is 256 Washington St, Mount Vernon, NY 10553-1052 and can be reached out via phone at 914-613-0700.

Provider Profile Details

NPI Number
1417442146
Provider Name
Sandia Demosthenesjacob
Credential
LMSW, CASAC
Provider Entity Type
Individual
Gender
Female
Address
256 Washington St, Mount Vernon, NY 10553-1052
Phone Number
914-613-0700
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2018
Last Update Date
June 25, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
256 Washington St
Mount Vernon, NY 10553-1052
Zip
10553-1052
Phone Number
914-613-0700
Mount Vernon, NY 10553Get directions →

Provider Business Mailing Address Details

Address
256 Washington St
Mount Vernon, NY 10553-1052
City
Mount Vernon
State
NY
Zip
10553-1052
Phone Number
914-316-7466

License Information

License Number
099975
License State
NY
Taxonomy
Social Worker · 104100000X · 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 Sandia Demosthenesjacob, LMSW, CASAC?

The NPI number of Sandia Demosthenesjacob, LMSW, CASAC is 1417442146. It was assigned on June 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Sandia Demosthenesjacob, LMSW, CASAC?

Sandia Demosthenesjacob, LMSW, CASAC is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 099975.

Where does Sandia Demosthenesjacob, LMSW, CASAC practice?

The practice location is 256 Washington St, Mount Vernon, NY 10553-1052. The office can be reached at 914-613-0700 (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 1417442146 directly on the NPPES registry website.

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