Jacob W Loughner, CDCA is a
Social Worker based in Mentor, Ohio. Jacob W Loughner is licensed to practice in * (Not Available) (license number ) and his current practice location is
7232 Justin Way, Mentor, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 578-8200.
NPI number for Jacob W Loughner is 1063970713 and his current mailing address is 7232 Justin Way, Mentor, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063970713.
Healthcare Provider's Profile
| Full Name | Jacob W Loughner |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 7232 Justin Way, Mentor, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063970713
- Provider Enumeration Date: 03/12/2019
- Last Update Date: 12/06/2023
Medical Identifiers
Medical identifiers for Jacob W Loughner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063970713 | NPI | - | NPPES |
| 0431726 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | CDCA.173535 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (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 W Loughner 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 |
|---|
Jacob W Loughner, CDCA
7232 Justin Way,
Mentor, OH 44060-4881
Ph: (440) 578-8200 | Jacob W Loughner, CDCA
7232 Justin Way,
Mentor, OH 44060-4881
Ph: (440) 578-8200 |
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