| Adam L Jacobson, | |
|
220 Reservoir St Ste 21, Needham, MA 02494-3133 | |
| (781) 429-7754 | |
| Not Available |
| Full Name | Adam L Jacobson |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 220 Reservoir St Ste 21, Needham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487779096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS23743 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 126159 (Massachusetts) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam L Jacobson, 220 Reservoir St Ste 21, Needham, MA 02494-3133 Ph: (781) 429-7754 | Adam L Jacobson, 220 Reservoir St Ste 21, Needham, MA 02494-3133 Ph: (781) 429-7754 |
Ms. Joanna Imse, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Hunnewell St, Suite 5, Needham, MA 02494 Phone: 617-762-0696 Fax: 781-400-5137 | |
Jessica Doeppner Llewellyn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 237 Highland Ave, Needham, MA 02494 Phone: 781-433-0672 Fax: 781-559-3192 | |
Elizabeth Emery, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 237 Highland Ave, Needham, MA 02494 Phone: 781-915-8981 | |
Diane Costello Schwerdt, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 145 Rosemary St Unit K, Needham, MA 02494 Phone: 617-444-7186 | |
Devon Elizabeth Smith, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 Highland Ave, Needham, MA 02494 Phone: 781-433-0672 | |
Ms. Margaret Lincoln Devecchi, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 711 Webster St, Needham, MA 02492 Phone: 413-695-7015 | |
Ms. Beth A. Burlingame, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1968 Central Ave, Needham, MA 02492 Phone: 781-292-2081 |