National Provider Identifier
Diane Catherine Jacobs, PHD
Diane Catherine Jacobs, PHD is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (626) 695-2255.
Profile Overview
- NPI
- 1518733872
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 28, 2023
- Last Updated
- November 28, 2023
Practice Location
- 154 Willnick Cir
- Rochester, NY 14626-4749
Phone: (626) 695-2255
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1518733872
- Entity Type
- Individual
- Last Name
- Jacobs
- First Name
- Diane
- Middle Name
- Catherine
- Name Prefix
- Dr.
- Credential
- PHD
- Mailing Street Address
- 154 Willnick Cir
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4749
- Mailing Country
- US
- Mailing Phone
- (626) 695-2255
- Practice Street Address
- 154 Willnick Cir
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4749
- Practice Country
- US
- Practice Phone
- (626) 695-2255
- Enumeration Date
- November 28, 2023
- Last Updated
- November 28, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 28, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)