Emily Jardim, LSW in Toledo, OH - Medicare Social Worker Provider

Emily Jardim, LSW is a medicare enrolled "Social Worker - Clinical" provider in Toledo, Ohio. Her current practice location is 4159 N Holland Sylvania Rd, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 517-6564.

Emily Jardim is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396317590.

Contact Information

	Emily Jardim, LSW
	4159 N Holland Sylvania Rd, Toledo, OH 43623-4803
	(419) 517-6564
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Jardim
Gender	Female
Speciality	Social Worker - Clinical
Location	4159 N Holland Sylvania Rd, Toledo, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396317590
Provider Enumeration Date: 07/15/2021
Last Update Date: 04/14/2023

Medicare PECOS Information:

PECOS PAC ID: 6406221175
Enrollment ID: I20230411001613

Medical Identifiers

Medical identifiers for Emily Jardim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396317590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Emily Jardim allows following entities to bill medicare on her behalf.

Entity Name	Affirmations Psychological Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265503536 PECOS PAC ID: 5991941502 Enrollment ID: O20130425000562

Entity Name	Optum Behavioral Care Of Ohio Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285400978 PECOS PAC ID: 7719325083 Enrollment ID: O20240404004119

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Jardim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Emily Jardim, LSW 1090 S Tamiami Trl, Sarasota, FL 34236-9116 Ph: (904) 605-4986	Emily Jardim, LSW 4159 N Holland Sylvania Rd, Toledo, OH 43623-4803 Ph: (419) 517-6564

Reviews and Comments

Social Worker in Toledo, OH

Karen C. Fritts, L.I.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5151 Monroe St, #200, Toledo, OH 43623 Phone: 419-475-4449 Fax: 419-479-3832
Stephanie Cafarelli Doran, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3454 Oak Alley Ct Ste 504, Toledo, OH 43606 Phone: 419-318-8533
Mrs. Doreen Michelle Pant, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3335 Meijer Dr, Suite #450, Toledo, OH 43617 Phone: 419-467-6361 Fax: 419-671-8026
Lea Rosenberg, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1425 Starr Ave, Toledo, OH 43605 Phone: 419-693-0631 Fax: 419-936-7606
Nicholas E Mueser, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3909 Woodley Rd, Toledo, OH 43606 Phone: 419-725-3330
Mark P Gorey, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1776 Tremainsville Rd, Toledo, OH 43613 Phone: 419-214-0606
Asha Pearson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5164 Monroe St, Toledo, OH 43623 Phone: 419-720-9586

Emily Jardim, LSW - Medicare Clinical Social Worker in Toledo, OH