National Provider Identifier
Amy Lee Jacobs, LISW
Amy Lee Jacobs, LISW 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
- 1316095714
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 08, 2007
- Last Updated
- December 22, 2011
Practice Location
- 127 West State St
- Ithaca, NY 14850-5474
Phone: (607) 273-7494
Mailing Address
- 127 W State St
- Ithaca, NY 14850-5474
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1316095714
- Entity Type
- Individual
- Last Name
- Jacobs
- First Name
- Amy
- Middle Name
- Lee
- Name Prefix
- MS.
- Credential
- LISW
- Mailing Street Address
- 127 W State St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5474
- Mailing Country
- US
- Mailing Phone
- (607) 273-7497
- Practice Street Address
- 127 West State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5474
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Enumeration Date
- January 08, 2007
- Last Updated
- December 22, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)