Edward Jacob
Individual provider Active NPI Social Worker · Frederiksted, VI
NPI 1285232124 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1285232124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 1207 (CT)
- Practice address
- 24X Stoney Ground
Frederiksted, VI 00841 - Phone
- (917) 569-8303
- NPI assigned
- Oct 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1207 | CT | Yes |
Addresses
Primary practice location
24X Stoney Ground
Frederiksted, VI 00841
Mailing address
PO Box 392
Frederiksted, VI 00841-0392
Phone (917) 569-8303
Other providers in Frederiksted, VI
- Government of US Virgin Islands Department of Finance
- Greater Changes LLC.
- Carmine Elise Hendricks
- Alice Victoria Henry
- Hercare Inc
- Claudina Jones-Smith
- Cherian Joseph-Jnofinn
- Abd Alrahman Kara Hammoudeh
- Shavell Ahleen Karel
- Emily Karr
All providers in Frederiksted, VI · Social Worker in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.