Provider Demographics
NPI:1750113734
Name:JAKOBOVIC, STEVEN (LMSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:JAKOBOVIC
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4116 WESTVIEW RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-1455
Mailing Address - Country:US
Mailing Address - Phone:646-509-1988
Mailing Address - Fax:
Practice Address - Street 1:623 W 34TH ST STE 105
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2658
Practice Address - Country:US
Practice Address - Phone:443-873-0635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-17
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty