Ms. Suzanne J. Jacobs LICSW
Clinical Social Worker in Worcester, MA(View on Map)
Full Name
Ms. Suzanne Jacqueline Jacobs LICSW
NPI Number
1043271513
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/31/2006
Specialties
(Taxonomies)Licenses
State
Massachusetts
Rhode Island
License Number
111352
ISW01586
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 415348
55 LAKE AVE N
City
Boston
Worcester
State
MA
MA
Postal Code
02241-5348
01655-0002
Country
US
US
Telephone Number
(800) 225-8885
(774) 442-2853
Health Information Exchange
Endpoint Type
FHIR
DIRECT
Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
sjacobs22940@UmassMemorial.direct-ci.com
Endpoint Description
Unknown
Unknown
Use
Unknown
Unknown
Content Type
Unknown
Unknown
Affiliation
N
N
Endpoint Location
55 Lake Ave NWorcester, MA016550002US
55 Lake Ave NWorcester, MA016550002US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/29/2020
Provider Address
Other Clinical Social Workers in Worcester, Massachusetts:
