Jennifer M.B. Jacobs, LCSW
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1003263294
StatusActive
Last updated in NPPESJun 10, 2026
Details
- NPI
- 1003263294
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer M.B. Jacobs
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2016
- Certification date
- Jun 10, 2026
- Last updated
- Jun 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 086264-1 | NY | Yes |
Practice location
180 W End Ave Apt 1aNew York, NY 10023-4917
Phone 646-753-1907
Mailing address
110 W. 69th StreetApt. 1d
New York, NY 10023
Phone 646-753-1907
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