Jacob Douglas Lawrence, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Candler, North Carolina. His current practice location is
19 Eplee Ln, Candler, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 458-9445.
Jacob Douglas Lawrence is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104370048.
Healthcare Provider's Profile
Full Name | Jacob Douglas Lawrence |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 19 Eplee Ln, Candler, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104370048
- Provider Enumeration Date: 08/09/2016
- Last Update Date: 06/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 4486990603
- Enrollment ID: I20190109001531
Medical Identifiers
Medical identifiers for Jacob Douglas Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104370048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 22857 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Douglas Lawrence 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 Douglas Lawrence, LCSW 19 Eplee Ln, Candler, NC 28715-6403 Ph: (828) 458-9445 | Jacob Douglas Lawrence, LCSW 19 Eplee Ln, Candler, NC 28715-6403 Ph: (828) 458-9445 |
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