Jacobson, Amy C.
Jacobson, Amy C. is an sole proprietor health care provider with primary practice located at 113 N Chestnut St , New Paltz NY 12561-1005. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacobson, Amy C. can be contacted via phone (845) 255-3474.Contact Information
Primary practice address
113 N Chestnut St
New Paltz NY 12561-1005
Phone: (845) 255-3474
Fax: (845) 255-0104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R050042-1 | New York |
Profile Details
| NPI number | 1780676577 |
|---|---|
| LBN Legal business name | Jacobson, Amy C. |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780676577 | NPPES |
| New York | Other | R050042-1 | LCSW-R LICENSE |
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