Robin Susanne Trencher Jacob, L.M.S.W.

Individual provider Active NPI Social Worker · Voorheesville, NY

NPI 1487938015 · NPPES record last updated Sep 30, 2011

Key facts

NPI
1487938015
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
030729 (NY)
Practice address
129 Maple Ave
Voorheesville, NY 12186-9726
Phone
(518) 439-0381
Fax
(518) 765-3842
NPI assigned
Sep 30, 2011
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
030729NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Voorheesville Central School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 030729 NY Yes

Addresses

Primary practice location

129 Maple Ave
Voorheesville, NY 12186-9726

Mailing address

129 Maple Ave
Voorheesville, NY 12186-9726
Phone (518) 439-0381

Other names

  • Ms. Robin Susanne Trencher Former name

Other providers in Voorheesville, NY

All providers in Voorheesville, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.