Individual
JACOB SCHUCHMAN FALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W., L.I.C.S.W
Contact information
Practice address
7400 METRO BLVD STE 211, EDINA, MN 55439-2321
(612) 940-2136
Mailing address
7400 METRO BLVD STE 211, EDINA, MN 55439-2321
(612) 940-2136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26014
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508635368
NPI TYPE 2
MN
05
—
1750845244
—
MN
Enumeration date
01/29/2019
Last updated
06/17/2024
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