Lyn Jacobson, LMSW
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1720290331
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720290331
- Entity type
- Individual (NPI-1)
- Name
- Lyn Jacobson
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 069237 | NY | Yes |
Practice location
315 W 57th StSuite 306
New York, NY 10019-3158
Phone 212-765-7022
Mailing address
2000 BroadwayNew York, NY 10023-5028
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