Audrey D Jacobson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0368741 Issued in NY

Practice address

731 Saw Mill River Rd
Ste 7
Ardsley, NY 10502

Phone

(914) 693-5463

Fax

(914) 674-2811

NPI assigned

Mar 30, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487615332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 SAW MILL RIVER RD",
            "address_2": "STE 7",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "10502",
            "telephone_number": "914-693-5463",
            "fax_number": "914-674-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 SAW MILL RIVER RD",
            "address_2": "STE 7",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "10502",
            "telephone_number": "914-693-5463",
            "fax_number": "914-674-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "AUDREY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0368741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anyeka Hudson
• Fiona Hughes
• Doron I Ilan, MD
• J.R. Physical Therapy Dobbs Ferry PLLC
• Leslie P. Jacobs, MSW
• Gwen Jagde, M.S. EDUCATION
• Daphney Jeanpierre
• Grace Jetawo, RN
• John Hugh Rubin
• John Thomas PC

• Clinical Social Worker in Ardsley, NY
• Providers in Ardsley, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.