Jacqueline Mary Baclawski, LCSW in Irving, TX - Medicare Social Worker Provider

Jacqueline Mary Baclawski, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Irving, Texas. Her current practice location is 1425 Greenway Dr Ste 360, Irving, Texas. You can reach out to her office (for appointments etc.) via phone at (844) 824-8775.

Jacqueline Mary Baclawski is licensed to practice in Texas (license number 63374) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386950590.

Contact Information

	Jacqueline Mary Baclawski, LCSW
	1425 Greenway Dr Ste 360, Irving, TX 75038-2447
	(844) 824-8775
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Mary Baclawski
Gender	Female
Speciality	Social Worker - Clinical
Location	1425 Greenway Dr Ste 360, Irving, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386950590
Provider Enumeration Date: 08/25/2010
Last Update Date: 07/01/2026

Medicare PECOS Information:

PECOS PAC ID: 4981979556
Enrollment ID: I20180802000548

Medical Identifiers

Medical identifiers for Jacqueline Mary Baclawski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386950590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	3114-C (Arkansas)	Secondary
1041C0700X	Social Worker - Clinical	63374 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Mary Baclawski allows following entities to bill medicare on her behalf.

Entity Name	North Texas Behavioral Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457720120 PECOS PAC ID: 2769804350 Enrollment ID: O20200629001278

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. Jacqueline Mary Baclawski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacqueline Mary Baclawski, LCSW 1425 Greenway Dr Ste 360, Irving, TX 75038-2447 Ph: (844) 824-8775	Jacqueline Mary Baclawski, LCSW 1425 Greenway Dr Ste 360, Irving, TX 75038-2447 Ph: (844) 824-8775

Reviews and Comments

Social Worker in Irving, TX

Ms. Deborah Kay Karulf, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4425 W Airport Fwy Ste 244, Irving, TX 75062 Phone: 214-441-3797
Mr. Clifford Raymond Fagan, LCSW CCM Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 W Airport Fwy, Ste 1100, Irving, TX 75062 Phone: 214-704-5879 Fax: 888-974-1492
Charlotte Gruber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5215 North O'connor Boulevard, 1100, Irving, TX 75039 Phone: 469-928-6710
Amanda Campbell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 391 East Las Colinas Boulevard, Suite 130 #617, Irving, TX 75039 Phone: 682-480-3411
Ciera Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3021 Gateway Dr Ste 295, Irving, TX 75063 Phone: 888-854-1397
Mary Tomutsa, LCSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Po Box 154953, Irving, TX 75015 Phone: 214-636-0850
Miracle Deysia Betancourt, MSW, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 8300 Esters Blvd Ste 900, Irving, TX 75063 Phone: 415-424-4266 Fax: 415-520-6633

Jacqueline Mary Baclawski, LCSW - Medicare Clinical Social Worker in Irving, TX