Individual provider · Type 1 NPI
Annette L. Jacob, LICSW
Clinical Social Worker · St. Paul, MN
Practice location
2550 University Ave W, Suite 435S
St. Paul, MN 55114-1052
Mailing address
2338 Doswell Ave
St. Paul, MN 55108-1631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 11266 (MN) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1174629869
Annette L. Jacob, LICSW's National Provider Identifier is 1174629869, issued on Sep 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.