National Provider Identifier
Jacqueline Noel Treml Gottlieb, LMSW
Jacqueline Noel Treml Gottlieb, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1124266358
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 26, 2009
- Last Updated
- December 01, 2021
Practice Location
- 215 N Geneva St
- Ithaca, NY 14850-4166
Phone: (607) 273-7494
Mailing Address
- 904 N Tioga St
- Ithaca, NY 14850-3628
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1124266358
- Entity Type
- Individual
- Last Name
- Treml Gottlieb
- First Name
- Jacqueline
- Middle Name
- Noel
- Name Prefix
- MS.
- Credential
- LMSW
- Provider Other Last Name
- Treml
- Provider Other First Name
- Jacqueline
- Provider Other Middle Name
- Noel
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- LMSW
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 904 N Tioga St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3628
- Mailing Country
- US
- Mailing Phone
- (607) 273-7494
- Practice Street Address
- 215 N Geneva St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4166
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Enumeration Date
- January 26, 2009
- Last Updated
- December 01, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 01, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)