DR. SUSAN J JAKUBOWICZ (NPI# 1295950178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295950178 |
| Entity Type | Individual |
| Full Name | DR. SUSAN J JAKUBOWICZ |
| Credential | PH.D. |
| Practice Address |
301 E 21st St 1-k New York NY 10010-6543 |
| Practice Telephone | 2124731400 |
| Practice Fax Number | 2122607564 |
| Mailing Telephone | 2124731400 |
| Mailing Fax Number | 2122607564 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1041C0700X |
Social Worker Specialization: Clinical |
PR30155-2 | NY | Behavioral Health & Social Service Providers |
| X | 102L00000X | Psychoanalyst | 000381-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
301 E 21ST ST 1-K |
| City | NEW YORK |
| State | NY |
| Zip Code | 10010-6543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205829611 | Maurice Elish Markewich | Psychiatry & Neurology | 301 E 21st St, New York, NY 10010-6543 | 2005-08-31 |
| 1174936041 | Beth Golomb | Social Worker | 301 E 21st St, New York, NY 10010-6505 | 2014-06-08 |
| 1356586630 | Wen-ray Thomas Hsu, Md, PC | Internal Medicine | 301 E 21st St, Suite 1a, New York, NY 10010-6543 | 2008-12-15 |
| 1376685487 | Meredith A Carr | Psychologist | 301 E 21st St, Apt 1l, New York, NY 10010-6543 | 2007-02-13 |
| 1902994692 | Patrick Virgil Ponce | Occupational Therapist | 301 E 21st St, Apt. 15l, New York, NY 10010-6543 | 2006-10-10 |
| 1326135468 | Wen-ray T Hsu | Internal Medicine | 301 E 21st St, Suite 1a, New York, NY 10010-6505 | 2006-10-09 |
| 1831283043 | Amy Huei Mei Kuo | Internal Medicine | 301 E 21st St, New York, NY 10010 | 2006-10-03 |
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| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.