JACOB STUDIOSO, LCSW, PLLC – NPI #1790421329
Clinic/Center

JACOB STUDIOSO, LCSW, PLLC is an AHC clinic located in GENESEO, NY. NPPES has assigned the NPI number 1790421329 to JACOB STUDIOSO, LCSW, PLLC on May 06, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACOB STUDIOSO, LCSW, PLLC below.

NPI Profile for
JACOB STUDIOSO, LCSW, PLLC

NPI Number
1790421329
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACOB STUDIOSO, LCSW, PLLC
Primary location
84 AVON GENESEO RD
SUITE B
GENESEO, NY 14454
Phone: (585) 628-4200 Fax:
Mailing address
PO BOX 706
GENESEO, NY 14454-0706
Phone: (585) 628-4200 Fax: (585) 628-4280
Organization Subpart
No
Authorized Official
JACOB STUDIOSO
OWNER
Phone: (585) 628-4200
Updated
Certification Date
Apr 24, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.