Doctor Name: | MS. CAROL JOBSON |
NPI Number: | 1144650557 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | R038629-1 |
Business Practice Address: | 380 Nassau Rd Ll Roosevelt, NY - 115751343 |
Business Phone Number: | 5166237741 |
Business Fax Number: | 5166237775 |
Mailing Address: | 25315 148th Ave, ROSEDALE |
State: | NY |
Postal Code: | 114222829 |
Phone Number: | 5166237741 |
Fax Number: | 5166237775 |
NPI Enumeration Date: | 11/21/2013 |
NPI Last Update Date: | 11/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R038629-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |