Individual provider · Type 1 NPI

Carolyn Diane Jacoby, MSW, LCSW

Clinical Social Worker · New York, NY

NPI number 1497815112 Active

Practice location

853 Broadway, Suite 701
New York, NY 10003-4703

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR057691-1 (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 1497815112

Carolyn Diane Jacoby, MSW, LCSW's National Provider Identifier is 1497815112, issued on Dec 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.