National Provider Identifier
Kimberly Brett Jakobson
Kimberly Brett Jakobson is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (504) 296-1859.
Profile Overview
- NPI
- 1912564469
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 21, 2019
- Last Updated
- July 13, 2023
Practice Location
- 1627 Trumansburg RD
- Ithaca, NY 14850-9213
Phone: (504) 296-1859
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1912564469
- Entity Type
- Individual
- Last Name
- Jakobson
- First Name
- Kimberly
- Middle Name
- Brett
- Mailing Street Address
- 1627 Trumansburg RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9213
- Mailing Country
- US
- Mailing Phone
- (504) 296-1859
- Practice Street Address
- 1627 Trumansburg RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9213
- Practice Country
- US
- Practice Phone
- (504) 296-1859
- Enumeration Date
- May 21, 2019
- Last Updated
- July 13, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)