Jerome Robert Ebacher, LCSW is a
Social Worker - Clinical based in Lehigh Acres, Florida. Jerome Robert Ebacher is licensed to practice in Florida (license number SW10037) and his current practice location is
826 Grenada Ave, Lehigh Acres, Florida. He can be reached at his office (for appointments etc.) via phone at
(218) 391-5158.
NPI number for Jerome Robert Ebacher is 1952773640 and his current mailing address is 826 Grenada Ave, Lehigh Acres, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952773640.
Healthcare Provider's Profile
Full Name | Jerome Robert Ebacher |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 826 Grenada Ave, Lehigh Acres, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952773640
- Provider Enumeration Date: 10/21/2015
- Last Update Date: 10/21/2015
Medical Identifiers
Medical identifiers for Jerome Robert Ebacher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952773640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | SW10037 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | SW10037 (Florida) | 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. Jerome Robert Ebacher 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 |
Jerome Robert Ebacher, LCSW 826 Grenada Ave, Lehigh Acres, FL 33974 Ph: (218) 391-5158 | Jerome Robert Ebacher, LCSW 826 Grenada Ave, Lehigh Acres, FL 33974 Ph: (218) 391-5158 |
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