Individual provider · Type 1 NPI

Bertha Elizabeth Jacobs, LCSW R

Clinical Social Worker · Syracuse, NY

NPI number 1316133382 Active

Practice location

226 Randolph Street
Syracuse, NY 13205

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X036843 (NY)

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 1316133382

Bertha Elizabeth Jacobs, LCSW R's National Provider Identifier is 1316133382, issued on Sep 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Sep 24, 2007.