Provider Demographics
NPI:1831262294
Name:JACOBS-KAPLAN, MARLENE (MSW LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:
Last Name:JACOBS-KAPLAN
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 STOKES ROAD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-3003
Mailing Address - Country:US
Mailing Address - Phone:609-953-1222
Mailing Address - Fax:609-714-0095
Practice Address - Street 1:639 STOKES ROAD
Practice Address - Street 2:SUITE 203
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-3003
Practice Address - Country:US
Practice Address - Phone:609-953-1222
Practice Address - Fax:609-714-0095
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC010156001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical