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General NPI Number Information
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NPI Number | 1659677730
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Entity Type | Individual
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Provider Name | CAREN E JACOBS LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 400 RAMAPO AVE
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City | POMPTON LAKES
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State | NJ
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Zip | 07442-1825
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Country | US
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Telephone | 973-858-8163
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Fax | 862-666-1074
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Provider Business Mailing Address
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Address Line | PO BOX 493
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City | POMPTON LAKES
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State | NJ
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Zip | 07442-0493
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Country | US
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Telephone | 976-858-8163
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Fax | 862-666-1074
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC00358200
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License Number State | NJ
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