Active NPIIndividual provider

Mrs. Shirley D Jacobson, LICSW

Social Worker, Clinical in Wellesley, Massachusetts

NPI Number1801954755
Practice location
11 Chapel Pl, Wellesley, MA 02481-3130
Fax
781-235-7176
Last updated
July 8, 2007

Shirley D. Jacobson is a Social Worker, Clinical based in Wellesley, MA. Shirley D. Jacobson practices in Wellesley, MA and has the professional credentials of LICSW. The NPI Number for Shirley D. Jacobson is 1801954755 and holds a License No. 102724 (MA). The current practice location address for Shirley D. Jacobson is 11 Chapel Pl, Wellesley, MA 02481-3130 and can be reached out via phone at 781-235-4950 and via fax at 781-235-7176.

Provider Profile Details

NPI Number
1801954755
Provider Name
Shirley D. Jacobson
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
11 Chapel Pl, Wellesley, MA 02481-3130
Phone Number
781-235-4950
Fax Number
781-235-7176
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 4, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Chapel Pl
Wellesley, MA 02481-3130
Zip
02481-3130
Phone Number
781-235-4950
Fax Number
781-235-7176
Wellesley, MA 02481Get directions →

Provider Business Mailing Address Details

Address
242 Old Connecticut Path
Wayland, MA 01778-3114
City
Wayland
State
MA
Zip
01778-3114
Phone Number
508-358-7872

License Information

License Number
102724
License State
MA
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 Mrs. Shirley D Jacobson, LICSW?

The NPI number of Mrs. Shirley D Jacobson, LICSW is 1801954755. It was assigned on December 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Shirley D Jacobson, LICSW?

Mrs. Shirley D Jacobson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 102724.

Where does Mrs. Shirley D Jacobson, LICSW practice?

The practice location is 11 Chapel Pl, Wellesley, MA 02481-3130. The office can be reached at 781-235-4950 (phone) or 781-235-7176 (fax).

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 1801954755 directly on the NPPES registry website.

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