Kathleen M Jacober, MSW

Individual provider Active NPI Clinical Social Worker · Loveland, CO

NPI 1851449342 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1851449342
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
989155 (CO)
Practice address
150 E 29TH St
Suite225
Loveland, CO 80538-7804
Phone
(970) 667-2272
Fax
(970) 663-5603
NPI assigned
Jan 8, 2007
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
989155COMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 989155 CO Yes

Addresses

Primary practice location

150 E 29TH St
Suite225
Loveland, CO 80538-7804

Mailing address

150 E 29TH St
Suite225
Loveland, CO 80538-7804
Phone (970) 667-2272

Other providers in Loveland, CO

All providers in Loveland, CO · Clinical Social Worker in Colorado

Sources for this page

Verify at the official NPI Registry.