Jacob D Crosby, LISW, LICDC is a
Social Worker - Clinical based in Lorain, Ohio. Jacob D Crosby is licensed to practice in Ohio (license number I.2304680-SUPV) and his current practice location is
6140 S Broadway, Lorain, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 233-7232.
NPI number for Jacob D Crosby is 1508306382 and his current mailing address is 6140 S Broadway, Lorain, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508306382.
Healthcare Provider's Profile
Full Name | Jacob D Crosby |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 6140 S Broadway, Lorain, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508306382
- Provider Enumeration Date: 02/28/2017
- Last Update Date: 05/28/2025
Medical Identifiers
Medical identifiers for Jacob D Crosby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508306382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162822 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I.2304680-SUPV (Ohio) | 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. Jacob D Crosby 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 |
Jacob D Crosby, LISW, LICDC 6140 S Broadway, Lorain, OH 44053-3821 Ph: (440) 233-7232 | Jacob D Crosby, LISW, LICDC 6140 S Broadway, Lorain, OH 44053-3821 Ph: (440) 233-7232 |
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