NPI 1043804289

Bradley Jacobs, LCSW

Practitioner Clinical Social Worker East Orange, NJ

Practice location

Address: 385 Tremont Ave, East Orange, NJ 07018-1023
Phone: (973) 676-1000
Mailing address: 42 Herbert Ter, West Orange, NJ 07052-1076

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 085502 (NY)

Other Social Worker providers in New Jersey →

Registry record

NPI: 1043804289
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2021
Record last updated: 2 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.