Provider Demographics
NPI:1265578918
Name:JOBSON, STEVEN MITCHELL (LCSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MITCHELL
Last Name:JOBSON
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4610 BEDFORD LN
Mailing Address - Street 2:
Mailing Address - City:CLAY
Mailing Address - State:NY
Mailing Address - Zip Code:13041-4118
Mailing Address - Country:US
Mailing Address - Phone:315-572-2813
Mailing Address - Fax:
Practice Address - Street 1:4610 BEDFORD LN
Practice Address - Street 2:
Practice Address - City:CLAY
Practice Address - State:NY
Practice Address - Zip Code:13041-4118
Practice Address - Country:US
Practice Address - Phone:315-572-2813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076809-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical