| Isaac Jacobs, Lcsw, Pllc | |
|
36 Winthrop St Rochester NY 14607-1326 | |
| (585) 314-8083 | |
| (585) 623-8182 |
| Full Name | Isaac Jacobs, Lcsw, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 36 Winthrop St, Rochester, New York |
| Authorized Official Name and Position | Isaac Jacobs (LCSW-OWNER) |
| Authorized Official Contact | 5853148083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Isaac Jacobs, Lcsw, Pllc 36 Winthrop St Rochester NY 14607-1326 Ph: (585) 314-8083 | Isaac Jacobs, Lcsw, Pllc 36 Winthrop St Rochester NY 14607-1326 Ph: (585) 314-8083 |
| NPI Number | 1538838073 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 09/08/2021 |
| Certification Date | 04/16/2021 |
| Medicare PECOS PAC ID | 4486045614 |
|---|---|
| Medicare Enrollment ID | O20211227000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538838073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Isaac J Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114460862 PECOS PAC ID: 5294126421 Enrollment ID: I20211227000153 |
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