Jaclyn Delong, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Denver, Colorado. Her current practice location is
2560 W 29th Ave, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 477-8280.
Jaclyn Delong is licensed to practice in Colorado (license number CSW.09925552) 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 1467908889.
Healthcare Provider's Profile
| Full Name | Jaclyn Delong |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2560 W 29th Ave, Denver, Colorado |
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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: 1467908889
- Provider Enumeration Date: 08/26/2016
- Last Update Date: 02/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082945241
- Enrollment ID: I20191021000003
Medical Identifiers
Medical identifiers for Jaclyn Delong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467908889 | NPI | - | NPPES |
| 84902248 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACB.0007954 (Colorado) | Secondary |
| 101YM0800X | Counselor - Mental Health | NLC.0105727 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | 88755 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09925552 (Colorado) | 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. Jaclyn Delong allows following entities to bill medicare on her behalf.
| Entity Name | The Roads Foundation, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508278359
PECOS PAC ID: 2961722558
Enrollment ID: O20150521002128 |
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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. Jaclyn Delong 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 |
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Jaclyn Delong, LCSW
12510 Roosevelt Ln Apt E1,
Englewood, CO 80112-7028
Ph: (720) 296-4165 | Jaclyn Delong, LCSW
2560 W 29th Ave,
Denver, CO 80211-3712
Ph: (303) 477-8280 |
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