| Doctor Name: | MRS. EMANI SUMMER JACOBS |
| NPI Number: | 1326446378 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLMSW |
| License Number: | 6801097521 |
| Business Practice Address: | 30000 Hiveley St Inkster, MI - 481411089 |
| Business Phone Number: | 7347283400 |
| Business Fax Number: | |
| Mailing Address: | 9611 Salem, REDFORD |
| State: | MI |
| Postal Code: | 482391691 |
| Phone Number: | 3136148951 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2014 |
| NPI Last Update Date: | 12/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801097521 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |