JACALYN D SPACE
NPI 1346017928
Case Manager/Care Coordinator in Liberty, NY

Q: What is Jacalyn Space's NPI number?

The NPI number for Jacalyn Space is 1346017928. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Q: What is Jacalyn Space's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacalyn Space was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 05, 2023

5 TRIANGLE RD, LIBERTY, NY 12754(845) 747-2580(845) 292-0121 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacalyn D Space NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACALYN D SPACE (NPI 1346017928) is an individual case manager/care coordinator provider in Liberty, New York and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1346017928

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameJACALYN D SPACE

Location Address5 TRIANGLE RDLiberty, NY 12754-3368

Mailing AddressPo Box 390Westbrookville, NY 12785-0390 · (845) 224-7684

Phone(845) 747-2580

Fax(845) 292-0121

Sole ProprietorNo

Enumeration DateDecember 5, 2023

NPPES CertifiedDecember 5, 2023

✔ NPI 1346017928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

5 TRIANGLE RD, Liberty, NY 12754

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