Provider Demographics
NPI:1972248185
Name:JACOBS, CHELSEA E (MSW)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:E
Last Name:JACOBS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 LINCOLN AVE APT 302
Mailing Address - Street 2:
Mailing Address - City:MILLVALE
Mailing Address - State:PA
Mailing Address - Zip Code:15209-2561
Mailing Address - Country:US
Mailing Address - Phone:412-576-4853
Mailing Address - Fax:
Practice Address - Street 1:1079 JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-4723
Practice Address - Country:US
Practice Address - Phone:412-793-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor