Elizabeth Jacobs, LMSW | |
80 N Eisenhower Ave, Mason City, IA 50401-7340 | |
(641) 423-3222 | |
Not Available |
Full Name | Elizabeth Jacobs |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 80 N Eisenhower Ave, Mason City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376059022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 086651 (Iowa) | Primary |
Entity Name | Champion State Of Mind Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033578331 PECOS PAC ID: 2860758372 Enrollment ID: O20171115002508 |
Mailing Address | Practice Location Address |
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Elizabeth Jacobs, LMSW 1820 Central Ave, Estherville, IA 51334-2409 Ph: (800) 592-0180 | Elizabeth Jacobs, LMSW 80 N Eisenhower Ave, Mason City, IA 50401-7340 Ph: (641) 423-3222 |
Linda S Vold, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 4th St Sw, Suite Bs, Mason City, IA 50401 Phone: 641-422-7797 Fax: 641-422-7516 | |
Mr. Douglas Alan Brink, LISW, LMFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 202 1st St Se, Suite 107, Mason City, IA 50401 Phone: 641-423-3778 Fax: 641-423-3881 | |
Jody Lynne Wiseman, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 124 N. Federal Avenue, Mason City, IA 50401 Phone: 641-423-3864 Fax: 641-423-3836 | |
Ms. Linda Lou Turnure, LICSW LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 Brook Ter, Mason City, IA 50401 Phone: 641-424-5582 | |
Mrs. Breanna Jo Johnson, BA CADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 N Eisenhower Ave, Mason City, IA 50402 Phone: 641-424-2391 Fax: 641-424-0783 | |
Michael Benak, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 4th St Sw, Mason City, IA 50401 Phone: 641-422-7779 | |
Christin Witherspoon Squier, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 E State St Ste 301, Mason City, IA 50401 Phone: 641-421-2089 Fax: 641-450-0030 |