Stacy Angelic Jacobo, is a
Counselor - Mental Health based in Los Angeles, California. Stacy Angelic Jacobo is licensed to practice in California (license number ASW95529) and her current practice location is
333 S Beaudry Ave, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 241-3841.
NPI number for Stacy Angelic Jacobo is 1215580154 and her current mailing address is 333 S Beaudry Ave, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215580154.
Healthcare Provider's Profile
| Full Name | Stacy Angelic Jacobo |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 333 S Beaudry Ave, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215580154
- Provider Enumeration Date: 07/19/2019
- Last Update Date: 06/09/2023
Medical Identifiers
Medical identifiers for Stacy Angelic Jacobo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215580154 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW95529 (California) | Primary |
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. Stacy Angelic Jacobo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacy Angelic Jacobo,
333 S Beaudry Ave,
Los Angeles, CA 90017-1466
Ph: (323) 241-3841 | Stacy Angelic Jacobo,
333 S Beaudry Ave,
Los Angeles, CA 90017-1466
Ph: (323) 241-3841 |
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