Jacob D Crosby, LISW, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Lorain, Ohio. He graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
6140 S Broadway, Lorain, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 233-7232.
Jacob D Crosby is licensed to practice in Ohio (license number I.2304680-SUPV) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 6140 S Broadway, Lorain, Ohio |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacob D Crosby graduated from medical school in 2015
NPI Data:
- NPI Number: 1508306382
- Provider Enumeration Date: 02/28/2017
- Last Update Date: 05/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466937545
- Enrollment ID: I20260326002464
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 |
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| 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
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 |
|---|
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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