Active NPIIndividual providerSole proprietor

Katie M Miller Jacobus

Social Worker, Clinical in East Dennis, Massachusetts

NPI Number1801939426
Practice location
1070 Route 134, East Dennis, MA 02641
Fax
—
Last updated
January 8, 2010

Katie M Miller Jacobus is a Social Worker, Clinical based in East Dennis, MA. Katie M Miller Jacobus practices in East Dennis, MA. The NPI Number for Katie M Miller Jacobus is 1801939426 and holds a License No. 213313 (MA). The current practice location address for Katie M Miller Jacobus is 1070 Route 134, East Dennis, MA 02641 and can be reached out via phone at 508-385-7474.

Provider Profile Details

NPI Number
1801939426
Provider Name
Katie M Miller Jacobus
Provider Entity Type
Individual
Gender
Female
Address
1070 Route 134, East Dennis, MA 02641
Phone Number
508-385-7474
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 14, 2007
Last Update Date
January 8, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1070 Route 134
East Dennis, MA 02641
Zip
02641
Phone Number
508-385-7474
East Dennis, MA 02641Get directions →

Provider Business Mailing Address Details

Address
Pobox 1094
Brewster, MA 02631
City
Brewster
State
MA
Zip
02631
Phone Number
508-237-6642

License Information

License Number (1)
213313
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
115195
License State (2)
MA
Taxonomy (2)
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 Katie M Miller Jacobus?

The NPI number of Katie M Miller Jacobus is 1801939426. It was assigned on February 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Katie M Miller Jacobus?

Katie M Miller Jacobus is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 213313.

Where does Katie M Miller Jacobus practice?

The practice location is 1070 Route 134, East Dennis, MA 02641. The office can be reached at 508-385-7474 (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 1801939426 directly on the NPPES registry website.

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