Active NPIIndividual providerSole proprietor

Mrs. Mary W Jacobs, LICSW

Social Worker, Clinical in Waban, Massachusetts

NPI Number1871772632
Practice location
31 White Oak RD, Waban, MA 02468-1322
Fax
—
Last updated
October 29, 2007

Mary W. Jacobs is a Social Worker, Clinical based in Waban, MA. Mary W. Jacobs practices in Waban, MA and has the professional credentials of LICSW. The NPI Number for Mary W. Jacobs is 1871772632 and holds a License No. #106248 (MA). The current practice location address for Mary W. Jacobs is 31 White Oak RD, Waban, MA 02468-1322 and can be reached out via phone at 617-969-2356.

Provider Profile Details

NPI Number
1871772632
Provider Name
Mary W. Jacobs
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
31 White Oak RD, Waban, MA 02468-1322
Phone Number
617-969-2356
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 29, 2007
Last Update Date
October 29, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 White Oak RD
Waban, MA 02468-1322
City
Waban
Zip
02468-1322
Phone Number
617-969-2356
Waban, MA 02468Get directions →

Provider Business Mailing Address Details

Address
31 White Oak RD
Waban, MA 02468-1322
City
Waban
State
MA
Zip
02468-1322
Phone Number
617-969-2356

License Information

License Number (1)
#106248
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
106248
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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. Mary W Jacobs, LICSW?

The NPI number of Mrs. Mary W Jacobs, LICSW is 1871772632. It was assigned on October 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mary W Jacobs, LICSW?

Mrs. Mary W Jacobs, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number #106248.

Where does Mrs. Mary W Jacobs, LICSW practice?

The practice location is 31 White Oak RD, Waban, MA 02468-1322. The office can be reached at 617-969-2356 (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 1871772632 directly on the NPPES registry website.

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