Provider / Organization | NPI | Date Certified |
---|---|---|
PAIGE JACOBSEN | 1396374815 | 2020-12-21 |
Paige Jacobsen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396374815. Registration indicates Paige Jacobsen is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
Registration | PART-B:Y DME:Y HHA:N PMD:N |
Entity Type | Individual |
Provider Name | Paige Jacobsen LICSW |
Other Provider Name | Paige Neyers |
Practice Office Address | 7117 OHMS LN EDINA, MN US |
Practice Office Telephone | 9529997768 |
Mailing Address | 9800 SHELARD PKWY STE 110 PLYMOUTH, MN 554416451 US |
Code | Practice | License No State |
---|---|---|
1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 25742
MN |