Individual
AMY C. JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
113 N CHESTNUT ST, NEW PALTZ, NY 12561-1005
(845) 255-3474
(845) 255-0104
Mailing address
PO BOX 1561, KINGSTON, NY 12402-1561
(845) 943-0405
(845) 255-0104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R050042-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R050042-1
LCSW-R LICENSE
NY
Enumeration date
08/17/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us