| Jodi Jacobson, L.c.s.w., P.a. | |
|
9250 Glades Rd Ste 209 Boca Raton FL 33434-3958 | |
| (561) 289-2573 | |
| Not Available |
| Full Name | Jodi Jacobson, L.c.s.w., P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 9250 Glades Rd Ste 209, Boca Raton, Florida |
| Authorized Official Name and Position | Jodi Jacobson (PRESIDENT) |
| Authorized Official Contact | 5612892573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Jacobson, L.c.s.w., P.a. 9250 Glades Rd Ste 209 Boca Raton FL 33434-3958 Ph: () - | Jodi Jacobson, L.c.s.w., P.a. 9250 Glades Rd Ste 209 Boca Raton FL 33434-3958 Ph: (561) 289-2573 |
| NPI Number | 1811418494 |
|---|---|
| Provider Enumeration Date | 07/04/2017 |
| Last Update Date | 11/02/2018 |
| Medicare PECOS PAC ID | 5698037034 |
|---|---|
| Medicare Enrollment ID | O20180322000927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811418494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Jodi G Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215929351 PECOS PAC ID: 1052586526 Enrollment ID: I20111212000499 |
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