National Provider Identifier
Jacob Studioso, LCSW
Jacob Studioso, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Geneseo, NY and a listed phone number of (585) 628-4200.
Profile Overview
- NPI
- 1457860025
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 26, 2017
- Last Updated
- March 10, 2022
Practice Location
- 84 Avon Geneseo RD Ste B
- Geneseo, NY 14454
Phone: (585) 628-4200
Mailing Address
- PO Box 706
- Geneseo, NY 14454-0706
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1457860025
- Entity Type
- Individual
- Last Name
- Studioso
- First Name
- Jacob
- Credential
- LCSW
- Mailing Street Address
- PO Box 706
- Mailing City
- Geneseo
- Mailing State
- NY
- Mailing ZIP Code
- 14454-0706
- Mailing Country
- US
- Mailing Phone
- (585) 628-4200
- Mailing Fax
- (585) 628-4280
- Practice Street Address
- 84 Avon Geneseo RD Ste B
- Practice City
- Geneseo
- Practice State
- NY
- Practice ZIP Code
- 14454
- Practice Country
- US
- Practice Phone
- (585) 628-4200
- Enumeration Date
- September 26, 2017
- Last Updated
- March 10, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- February 27, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)