Most Relevant Information
Provider Data
| NPI Number: | 1003263294 |
| Provider Name: | JENNIFER M.B. JACOBS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 086264-1 |
Most Important Dates
| Enumeration Date: | 05/18/2016 |
| Last Updated: | 02/20/2020 |
Provider Practice Location
27 W. 86TH ST.
SUITE 1C
NEW YORK
NY
10024
Practice Location Phone/Fax
| Phone: | 6467531907 |
| Fax: |
Provider Mailing Location
110 W. 69TH STREET
APT. 1D
NEW YORK
NY
10023
Provider Mailing Phone/Fax
| Phone: | 6467531907 |
| Fax: |