National Provider Identifier
Jacob Nathaniel Parker Carver, MSW
Jacob Nathaniel Parker Carver, MSW is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Ithaca, NY and a listed phone number of (607) 274-6288.
Profile Overview
- NPI
- 1922631852
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- February 19, 2020
- Last Updated
- February 19, 2020
Practice Location
- 201 E Green St # 500
- Ithaca, NY 14850-5635
Phone: (607) 274-6288
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1922631852
- Entity Type
- Individual
- Last Name
- Parker Carver
- First Name
- Jacob
- Middle Name
- Nathaniel
- Name Prefix
- Mr.
- Credential
- MSW
- Mailing Street Address
- 201 E Green St # 500
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5635
- Mailing Country
- US
- Mailing Phone
- (607) 274-6288
- Practice Street Address
- 201 E Green St # 500
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5635
- Practice Country
- US
- Practice Phone
- (607) 274-6288
- Enumeration Date
- February 19, 2020
- Last Updated
- February 19, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 19, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)