Jacobson, Courtney A

Jacobson, Courtney A is an sole proprietor health care provider with primary practice located at 343 Oak Neck Rd , West Islip NY 11795-3616. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jacobson, Courtney A can be contacted via phone (631) 793-5250.

Contact Information

Primary practice address
343 Oak Neck Rd West Islip NY 11795-3616
Phone: (631) 793-5250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 093103 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 087587 New York

Profile Details

NPI number 1285010108
LBN Legal business name Jacobson, Courtney A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2015
Last updated Aug 29th, 2023 - about 3 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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