Mrs. Jodie Michelle Jacobs
Clinical Social Worker
2011 Crooks Rd
Royal Oak
, Michigan 48073-4049
Mrs. Jodie Michelle Jacobs
Clinical Social Worker
2011 Crooks Rd
Royal Oak
, Michigan 48073-4049
(248) 414-4053
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mrs. Jodie Michelle Jacobs
- 2011 Crooks Rd
- Royal Oak, MI
- Zip : 48073-4049
- Fax : (248) 414-4053
- Phone : (248) 414-4050
Second Address
- Mrs. Jodie Michelle Jacobs
- 2011 Crooks Rd
- Royal Oak, MI
- Zip : 48073-4049
- Fax : (248) 414-4053
- Phone : (248) 414-4050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 6801086491 | MI |
National Provider Identifier
| NPI | 1003133281 |
|---|---|
| Provider Name | Mrs. Jodie Michelle Jacobs |
| First Address | Royal Oak, MI 48073-4049 |
| Second Address | Royal Oak, MI 48073-4049 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2010 |
| Last Update Date | 27/04/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.