Abby Jacobson, MA, LCDP is a
Counselor - Addiction (substance Use Disorder) based in Chepachet, Rhode Island. Abby Jacobson is licensed to practice in Rhode Island (license number CDP00512) and her current practice location is
63 Harmony Hill Rd, Chepachet, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 949-0690.
NPI number for Abby Jacobson is 1962520874 and her current mailing address is 63 Harmony Hill Rd, Chepachet, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962520874.
Healthcare Provider's Profile
| Full Name | Abby Jacobson |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 63 Harmony Hill Rd, Chepachet, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962520874
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 03/13/2012
Medical Identifiers
Medical identifiers for Abby Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962520874 | NPI | - | NPPES |
| 2033065 | Other | VT | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 000121 (Vermont) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000121 (Vermont) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDP00512 (Rhode Island) | 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. Abby Jacobson 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 |
|---|
Abby Jacobson, MA, LCDP
63 Harmony Hill Rd,
Chepachet, RI 02814-1429
Ph: (401) 949-0690 | Abby Jacobson, MA, LCDP
63 Harmony Hill Rd,
Chepachet, RI 02814-1429
Ph: (401) 949-0690 |
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