Elise Jaacobi, Lcsw - Medicare Mental Health Clinic in Boca Raton, FL

Elise Jaacobi, Lcsw is a medicare enrolled mental health clinic (Social Worker - Clinical) in Boca Raton, Florida. The current practice location for Elise Jaacobi, Lcsw is 7100 West Camino Real, Suite 302, Boca Raton, Florida. For appointments, you can reach them via phone at (561) 212-4343. The mailing address for Elise Jaacobi, Lcsw is 21331 Rockledge Ln, Boca Raton, Florida and phone number is (561) 212-4343.

Elise Jaacobi, Lcsw is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245863240. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (561) 212-4343.

Contact Information

Elise Jaacobi, Lcsw
7100 West Camino Real
Suite 302
Boca Raton
FL 33433-5510
(561) 212-4343
Not Available

Mental Health Clinic Profile

Full NameElise Jaacobi, Lcsw
SpecialitySocial Worker
Location7100 West Camino Real, Boca Raton, Florida
Authorized Official Name and PositionElise R Jaacobi (OWNER)
Authorized Official Contact5612124343
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elise Jaacobi, Lcsw
21331 Rockledge Ln
Boca Raton
FL 33428-4878

Ph: (561) 212-4343
Elise Jaacobi, Lcsw
7100 West Camino Real
Suite 302
Boca Raton
FL 33433-5510

Ph: (561) 212-4343

NPI Details:

NPI Number1245863240
Provider Enumeration Date02/18/2020
Last Update Date04/14/2020
Certification Date04/14/2020

Medicare PECOS Information:

Medicare PECOS PAC ID2062842107
Medicare Enrollment IDO20200414000687

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Medical Identifiers

Medical identifiers for Elise Jaacobi, Lcsw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245863240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Elise Jaacobi, Lcsw acts as a billing entity for following providers:
Provider NameElise R Jaacobi
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689220071
PECOS PAC ID: 9032441761
Enrollment ID: I20191030002406

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