Jacobs, Carrie Lee

Jacobs, Carrie Lee is an individual health care provider with primary practice located at 790 Ridge Rd , Lackawanna NY 14218-1629. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jacobs, Carrie Lee can be contacted via phone (716) 828-9651.

Contact Information

Primary practice address
790 Ridge Rd Lackawanna NY 14218-1629
Phone: (716) 828-9651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 099096 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 072356 New York

Profile Details

NPI number 1649850421
LBN Legal business name Jacobs, Carrie Lee
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2021
Last updated Dec 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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