Individual ProviderKaren JacobsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address8900 Van Wyck Expy, Jamaica, NY 11418-2897(917) 704-5707PECOS EnrollmentBased on the most recent information from CMS, provider Karen Jacobs does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1316640022Provider TypeIndividualFull NameJacobs, KarenGenderFemaleSole ProprietorYesEnumeration Date3/22/2023Last Updated3/22/2023Contact InformationPractice LocationPractice Address8900 Van Wyck Expy, Jamaica, NY 11418-2897Phone(917) 704-5707FaxUnlisted FaxMailing LocationMailing Address8900 Van Wyck Expy, Jamaica, NY 11418-2897Phone(917) 704-5707FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense084110New York