Emily Jacobs, MS, MSW, LICSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cape Elizabeth, Maine. Her current practice location is
6 Hermit Thrush Rd, Cape Elizabeth, Maine. You can reach out to her office (for appointments etc.) via phone at
(518) 414-4098.
Emily Jacobs is licensed to practice in Maine (license number LC20011) 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 1477096816.
Healthcare Provider's Profile
| Full Name | Emily Jacobs |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 6 Hermit Thrush Rd, Cape Elizabeth, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477096816
- Provider Enumeration Date: 12/01/2016
- Last Update Date: 08/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 9234547167
- Enrollment ID: I20210414001642
Medical Identifiers
Medical identifiers for Emily Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477096816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 2474 (New Hampshire) | Secondary |
| 101YM0800X | Counselor - Mental Health | 099344 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | LC20011 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | 123950 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2474 (New Hampshire) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC20011 (Maine) | 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. Emily Jacobs 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 |
|---|
Emily Jacobs, MS, MSW, LICSW, LCSW
6 Hermit Thrush Rd,
Cape Elizabeth, ME 04107-1402
Ph: (518) 414-4098 | Emily Jacobs, MS, MSW, LICSW, LCSW
6 Hermit Thrush Rd,
Cape Elizabeth, ME 04107-1402
Ph: (518) 414-4098 |
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