MR. KENNETH G JACOBS (NPI# 1730462524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730462524 |
| Entity Type | Individual |
| Full Name | MR. KENNETH G JACOBS |
| Credential | LCSW |
| Practice Address |
6292 Gardner Rd Altamont NY 12009-5016 |
| Mailing Address |
6292 Gardner Road Altamont NY 12009-0371 |
| Practice Telephone | 5188615138 |
| Mailing Telephone | 5188615138 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
073370-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699271718 | Kenneth Walter Jacobs Jr. | Behavioral Analyst | 795 Folsom St, San Francisco, CA 94107-1243 | 2018-04-05 |
| 1194258418 | Kenneth Leon Michael Jacobs | Physical Therapist | 132 Salem Ct, Tallahassee, FL 32301-2810 | 2017-04-04 |
| 1225252810 | Kenneth Allen Jacobs | Pharmacist | 18500 Grand River Ave, Detroit, MI 48223-2319 | 2007-04-13 |
| 1417055518 | Kenneth Allan Jacobs | Obstetrics & Gynecology | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2006-09-20 |
| 1538175724 | Kenneth M Jacobs | Internal Medicine | 743 Jefferson Ave, Suite 303, Scranton, PA 18510-1635 | 2006-07-31 |
| 1700839032 | Kenneth Jacobs | Dentist | 8641 Wilshire Blvd, 315, Beverly Hills, CA 90211-2900 | 2006-05-18 |
| 1285698670 | Kenneth Lee Dine Jacobs | Emergency Medicine | 2615 E High St, Springfield, OH 45505-1412 | 2006-04-13 |
| Street Address |
6292 GARDNER RD |
| City | ALTAMONT |
| State | NY |
| Zip Code | 12009-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380160 | Peter William Conery | Licensed Practical Nurse | 1615 Berne Altamont Road, Altamont, NY 12009 | 2019-08-07 |
| 1346797917 | Guilderland Operator LLC | Skilled Nursing Facility | 428 New York 146, Altamont, NY 12009 | 2016-09-01 |
| 1548683949 | Bonnie Martel | Speech-Language Pathologist | 117 Grand Street, Altamont, NY 12009 | 2014-01-22 |
| 1841549433 | Elizabeth Ann Zuckoff | Licensed Practical Nurse | 33 Armstrong Circle, Altamont, NY 12009 | 2012-08-29 |
| 1063776144 | Albany Schenectady Greene County Agricultural and Historical Societies | Ambulance | 129 Grand St, Altamont, NY 12009 | 2012-07-03 |
| 1922253939 | Pamela Jean Smith I | Occupational Therapist | 102 Schoharie Plank Rd. W, Altamont, NY 12009 | 2008-11-19 |
| 1467671958 | John Norris | Physical Therapist | 122 Maple Ave., Altamont, NY 12009 | 2007-04-24 |
| 1518089630 | 820 River Street Inc. | Substance Abuse Rehabilitation Facility | 1180 Berne Altamont Rd., Altamont, NY 12009 | 2007-04-06 |
| 1457492217 | Philomena Wah Kong | Acupuncturist | 2498 Western Avenue, Altamont, NY 12009 | 2007-02-12 |
| 1750460127 | Bert Isen | Chiropractor | 16 Delaware Ave, Albany, NY 12009 | 2006-11-04 |
| Find all providers in zip 12009 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059818 | Amy D Ruckman | Social Worker | 407 S Edwards St, Altamont, IL 62411-1799 | 2020-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584891 | Alliah Irtan | Social Worker | 20 Randall Ave Apt 3m, Freeport, NY 11520-2756 | 2020-10-02 |
| 1144834045 | Luis Steven Maisonet | Social Worker | 255 Porter Ave, Buffalo, NY 14201-1051 | 2020-09-08 |
| 1386258135 | Kimberly Lama Khan | Social Worker | 301 Henry St Fl 1, New York, NY 10002-4840 | 2020-08-31 |
| 1801406327 | Simone Curling | Social Worker | 93 Lewis Ave Apt 10a, Brooklyn, NY 11206-7031 | 2020-08-10 |
| 1720604622 | Matthew Joseph Danis | Social Worker | 219 W 15th St Apt 1f, New York, NY 10011-6449 | 2020-06-17 |
| 1710512538 | Carmen I Ramos | Social Worker | 580 Castle Hill Ave Apt 7a, Bronx, NY 10473-1514 | 2020-03-12 |
| 1134753429 | Susan London | Social Worker | 5 Peter Cooper Rd Apt Me, New York, NY 10010-6635 | 2020-02-26 |
| 1952948432 | Esmeralda Murati | Social Worker | 65 Tuckahoe Ave, Eastchester, NY 10709-3624 | 2019-12-04 |
| 1588209415 | Tenisha Neil-robinson | Social Worker | Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 | 2019-11-14 |
| 1891345781 | Danielle Tooley | Social Worker | 403 Broadway, Kingston, NY 12401-4625 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.