Jacobs, Serena E.S.

Jacobs, Serena E.S. is an individual health care provider with primary practice located at 850 W Lancaster Ave 2Nd Floor, Bryn Mawr PA 19010-3220. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacobs, Serena E.S. can be contacted via phone (610) 520-1510.

Contact Information

Primary practice address
850 W Lancaster Ave 2Nd Floor Bryn Mawr PA 19010-3220
Phone: (610) 520-1510
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW015340 Pennsylvania

Profile Details

NPI number 1760550305
LBN Legal business name Jacobs, Serena E.S.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Dec 19th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760550305 NPPES
Pennsylvania Other 108080 MEDICARE IDENTIFICATION NUMBER

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