National Provider Identifier
Carrie Lee Jacobs, LMSW
Carrie Lee Jacobs, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Lackawanna, NY and a listed phone number of (716) 828-9651.
Profile Overview
- NPI
- 1649850421
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- April 14, 2021
- Last Updated
- December 16, 2024
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Phone: (716) 828-9651
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1649850421
- Entity Type
- Individual
- Last Name
- Jacobs
- First Name
- Carrie
- Middle Name
- Lee
- Credential
- LMSW
- Mailing Street Address
- 790 Ridge RD
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1629
- Mailing Country
- US
- Mailing Phone
- (716) 432-0941
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1629
- Practice Country
- US
- Practice Phone
- (716) 828-9651
- Enumeration Date
- April 14, 2021
- Last Updated
- December 16, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)