Ms. Ellen Petak Jacowitz I, LCSW
Counselor, Mental Health in Emerson, New Jersey
1629489216- Practice location
- 452 Old Hook RD, Emerson, NJ 07630-1381
- Phone
- 646-335-2221
- Fax
- —
- Last updated
- November 17, 2017
Ellen Petak Jacowitz is a Counselor, Mental Health based in Emerson, NJ. Ellen Petak Jacowitz practices in Emerson, NJ and has the professional credentials of LCSW. The NPI Number for Ellen Petak Jacowitz is 1629489216 and holds a License No. 44SC05549100 (NJ). The current practice location address for Ellen Petak Jacowitz is 452 Old Hook RD, Emerson, NJ 07630-1381 and can be reached out via phone at 646-335-2221.
Provider Profile Details
- NPI Number
- 1629489216
- Provider Name
- Ellen Petak Jacowitz
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 452 Old Hook RD, Emerson, NJ 07630-1381
- Phone Number
- 646-335-2221
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 16, 2014
- Last Update Date
- November 17, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 452 Old Hook RD
Emerson, NJ 07630-1381 - City
- Emerson
- State
- New Jersey
- Zip
- 07630-1381
- Phone Number
- 646-335-2221
Provider Business Mailing Address Details
- Address
- 452 Old Hook RD
Emerson, NJ 07630-1381 - City
- Emerson
- State
- NJ
- Zip
- 07630-1381
- Phone Number
- 646-335-2221
License Information
- License Number
- 44SC05549100
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Emerson, NJ
View all Counselor, Mental Health providers in Emerson →- Ginay Granda, LACCounselor, Mental Health · NPI 1245837681
- Mr. Michael Tekelly, LPCCounselor, Mental Health · NPI 1972449130
- Mr. Richard L Gariolo, LPCCounselor, Mental Health · NPI 1356490171
- Mrs. Dina Araujo, LPCCounselor, Mental Health · NPI 1811736358
- Mrs. Jodi A Crehan, LCSWCounselor, Mental Health · NPI 1013535905
- Richard Gariolo LLCCounselor, Mental Health · NPI 1811049836
Frequently Asked Questions
What is the NPI number of Ms. Ellen Petak Jacowitz I, LCSW?
The NPI number of Ms. Ellen Petak Jacowitz I, LCSW is 1629489216. It was assigned on May 16, 2014 and is currently active in the NPPES registry.
What is the specialty of Ms. Ellen Petak Jacowitz I, LCSW?
Ms. Ellen Petak Jacowitz I, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 44SC05549100.
Where does Ms. Ellen Petak Jacowitz I, LCSW practice?
The practice location is 452 Old Hook RD, Emerson, NJ 07630-1381. The office can be reached at 646-335-2221 (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 1629489216 directly on the NPPES registry website.