Active NPIIndividual providerSole proprietor

Dr. Stephanie A Jacobson, LCSW

Social Worker, Clinical in Woodbridge, Connecticut

NPI Number1558546093
Practice location
15 Cassway RD, Woodbridge, CT 06525-1214
Fax
—
Last updated
October 31, 2022

Stephanie A Jacobson is a Social Worker, Clinical based in Woodbridge, CT. Stephanie A Jacobson practices in Woodbridge, CT and has the professional credentials of LCSW. The NPI Number for Stephanie A Jacobson is 1558546093 and holds a License No. 58.008467 (CT). The current practice location address for Stephanie A Jacobson is 15 Cassway RD, Woodbridge, CT 06525-1214 and can be reached out via phone at 516-528-3831.

Provider Profile Details

NPI Number
1558546093
Provider Name
Stephanie A Jacobson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
15 Cassway RD, Woodbridge, CT 06525-1214
Phone Number
516-528-3831
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 3, 2008
Last Update Date
October 31, 2022
Certification Date
October 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Cassway RD
Woodbridge, CT 06525-1214
Zip
06525-1214
Phone Number
516-528-3831
Woodbridge, CT 06525Get directions →

Provider Business Mailing Address Details

Address
15 Cassway RD
Woodbridge, CT 06525-1214
City
Woodbridge
State
CT
Zip
06525-1214
Phone Number
516-528-3831

License Information

License Number
58.008467
License State
CT
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 Dr. Stephanie A Jacobson, LCSW?

The NPI number of Dr. Stephanie A Jacobson, LCSW is 1558546093. It was assigned on January 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Stephanie A Jacobson, LCSW?

Dr. Stephanie A Jacobson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 58.008467.

Where does Dr. Stephanie A Jacobson, LCSW practice?

The practice location is 15 Cassway RD, Woodbridge, CT 06525-1214. The office can be reached at 516-528-3831 (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 1558546093 directly on the NPPES registry website.

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