MEDICARE: FLORA JACOBSON L.C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	PR009463	NY

General Provider Information

NPI Number	:	1104973031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLORA JACOBSON L.C.S.W.

Provider Business Mailing Address
First Line	:	10470 QUEENS BLVD
Second Line	:	SUITE 200
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3694
Country	:	US
Telephone Number	:	718-275-6010
Fax Number	:	718-275-6062

Provider Business Practice Location Address
First Line	:	10470 QUEENS BLVD
Second Line	:	SUITE 200
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3694
Country	:	US
Telephone Number	:	718-275-6010
Fax Number	:	718-275-6062

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1942389887 — MS. ADELE ROCYTE GRANT MSW
Practice Location Address:

104-70 QUEENS BLVD
FOREST HILLS, NY
11375-3694

Practice Phone: 718-275-6010
Practice Fax:

1114086162 — MS. PAULINA SATZ WANT LCSW, MS
Practice Location Address:

10470 QUEENS BLVD
FOREST HILLS, NY
11375-3694

Practice Phone: 718-275-6010
Practice Fax:

1881751030 — LESLIE ABRAMS LMHC
Practice Location Address:

10470 QUEENS BLVD , SUITE 200
FOREST HILLS, NY
11375-3694

Practice Phone: 718-275-6010
Practice Fax: 718-275-6062

1184781627 — MR. JORGE E. ISDITH M.A. M.S. PSYCH
Practice Location Address:

10470 QUEENS BLVD , SUITE 200
FOREST HILLS, NY
11375-3694

Practice Phone: 718-275-6010
Practice Fax:

1518014364 — JURATE JONES LMSW
Practice Location Address:

10470 QUEENS BLVD , SUITE 200
FOREST HILLS, NY
11375-3694

Practice Phone: 718-275-6010
Practice Fax: 718-275-6062

1457408205 — MIKHAIL KHAIMOV M.S.W.
Practice Location Address:

10470 QUEENS BLVD , SUITE 200
FOREST HILLS, NY
11375-3694

Practice Phone: 718-275-6010
Practice Fax: 718-275-6062

Directions to “ FLORA JACOBSON L.C.S.W.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.