Jacob Averill, LCSWA, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Burgaw, North Carolina. His current practice location is
309 Progress Drive, Burgaw, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 259-0668.
Jacob Averill is licensed to practice in North Carolina (license number P013661) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659930618.
Healthcare Provider's Profile
Full Name | Jacob Averill |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 309 Progress Drive, Burgaw, North Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacob Averill attended and graduated from in
NPI Data:
- NPI Number: 1659930618
- Provider Enumeration Date: 06/12/2019
- Last Update Date: 05/13/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jacob Averill such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659930618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 25590 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | P013661 (North Carolina) | 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. Jacob Averill 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 |
Jacob Averill, LCSWA, LCAS 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 399-3755 | Jacob Averill, LCSWA, LCAS 309 Progress Drive, Burgaw, NC 28425-5001 Ph: (910) 259-0668 |
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