Individual
MS. LINDSEY MARIE JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6410 ENTERPRISE LANE, SUITE 210, MADISON, WI 53719
(608) 400-3672
(608) 422-4006
Mailing address
2342 TALC TRAIL APT. 202, MADISON, WI 53719
(608) 400-3672
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
132637-121
WI
1041C0700X
Clinical Social Worker
Primary
11730-123
WI
Other
Enumeration date
01/25/2023
Last updated
10/01/2024
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