Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ELLEN PETAK JACOWITZ I, LCSW
Active Sole ProprietorMS. ELLEN PETAK JACOWITZ I, LCSW is a Mental Health Counselor healthcare provider located in EMERSON, New Jersey. NPI 1629489216 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · EMERSON, NJ
Registration Details
- NPI Number
- 1629489216
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2014 (12.207097782829 yrs)
- Last Updated
- Nov 17, 2017
- License
-
44SC05549100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
452 OLD HOOK RDEMERSON, NJ, 076301381Browse NJ providers · Browse ZIP 07630
- Phone
- 6463352221
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in EMERSON, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD LOVIS GARIOLO | LPC | 1356490171 |
| MRS. JODI ANN CREHAN | LCSW | 1013535905 |
| GINAY GRANDA | LAC | 1245837681 |
| MRS. DINA ARAUJO | LAC | 1811736358 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.