Individual provider · Type 1 NPI

Marilyn Jacob, MA MSW LCSW PHD

Clinical Social Worker · Philadelphia, PA

NPI number 1265587380 Active

Practice location

8220 Castor Ave
Philadelphia, PA 19152-2729

Call (215) 728-4609 Map

Fax (215) 722-4213

Mailing address

37 Red Ridge Rd
Levittown, PA 19056

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW013424 (PA)

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 1265587380

Marilyn Jacob, MA MSW LCSW PHD's National Provider Identifier is 1265587380, issued on Jan 25, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 31, 2007.