National Provider Identifier
Paul G. Jacoby Lcsw, P.L.L.C.
Paul G. Jacoby Lcsw, P.L.L.C. is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency in Rochester, NY and a listed phone number of (585) 460-0066.
Profile Overview
- NPI
- 1316671456
- Provider Type
- Organization
- Primary Specialty
- Community/Behavioral Health Agency
- Enumeration Date
- July 14, 2022
- Last Updated
- July 14, 2022
Practice Location
- 36 Winthrop St
- Rochester, NY 14607-1326
Phone: (585) 460-0066
Specialties
- Community/Behavioral Health Agency (251S00000X)
Full Record
- NPI
- 1316671456
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Paul G. Jacoby Lcsw, P.L.L.C.
- Mailing Street Address
- 36 Winthrop St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1326
- Mailing Country
- US
- Mailing Phone
- (585) 460-0066
- Mailing Fax
- (585) 460-0038
- Practice Street Address
- 36 Winthrop St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1326
- Practice Country
- US
- Practice Phone
- (585) 460-0066
- Practice Fax
- (585) 460-0038
- Enumeration Date
- July 14, 2022
- Last Updated
- July 14, 2022
- Authorized Official Last Name
- Jacoby
- Authorized Official First Name
- Paul
- Authorized Official Middle Name
- G
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 460-0066
- Organization Subpart
- No
- Authorized Official Credential Text
- LCSW
- Certification Date
- June 16, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Community/Behavioral Health Agency (251S00000X)