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Contact Information

SUSAN M JAKUBOWSKI, LCSW
347 NORTH PIKE ROAD
SARVER, PA16055
 Phone: 724-448-2049
 Fax: 724-353-9901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SUSAN M JAKUBOWSKI · (Female)

NPI Number 1194764605
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # CW014591
  • PA Medicaid 1013320170001
  • Other 00628800 HIGHMARK
  • Other 056687 MAGELLAN
  • Other 163979 VALUE OPTIONS VBH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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