Individual provider · Type 1 NPI
Judith Lynne Chase-Jacobsen, LCSW
Clinical Social Worker · Boulder, CO
Practice location
990 Poplar Avenue
Boulder, CO 80304
Fax (303) 442-6612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 989543 (CO) |
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 1952445462
Judith Lynne Chase-Jacobsen, LCSW's National Provider Identifier is 1952445462, issued on Feb 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Jul 8, 2007.