Individual provider · Type 1 NPI
Mark Peter Jacobsen, PhD, LICSW
Clinical Social Worker · Washington, DC
Practice location
2607 Connecticut Ave NW
Washington, DC 20008-1522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LC303458 (DC) |
| Clinical Social Worker | 1041C0700X | 06666 (MD) |
| Clinical Social Worker | 1041C0700X | 0904004705 (VA) |
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 1578732863
Mark Peter Jacobsen, PhD, LICSW's National Provider Identifier is 1578732863, issued on Feb 21, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, DC. The record was last updated on Feb 21, 2008.