Abby Jacobson, MA, LCDP - in Chepachet, RI

Abby Jacobson, MA, LCDP is a Counselor - Addiction (substance Use Disorder) based in Chepachet, Rhode Island. Abby Jacobson is licensed to practice in Rhode Island (license number CDP00512) and her current practice location is 63 Harmony Hill Rd, Chepachet, Rhode Island. She can be reached at her office (for appointments etc.) via phone at (401) 949-0690.

NPI number for Abby Jacobson is 1962520874 and her current mailing address is 63 Harmony Hill Rd, Chepachet, Rhode Island. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962520874.

Contact Information

Abby Jacobson, MA, LCDP
63 Harmony Hill Rd,
Chepachet, RI 02814-1429
(401) 949-0690
(401) 949-4412



Healthcare Provider's Profile

Full NameAbby Jacobson
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location63 Harmony Hill Rd, Chepachet, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962520874
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 03/13/2012

Medical Identifiers

Medical identifiers for Abby Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962520874NPI-NPPES
2033065OtherVTCIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0400XPsychologist - Addiction (substance Use Disorder) 000121 (Vermont)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 000121 (Vermont)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) CDP00512 (Rhode Island)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. Abby Jacobson 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 AddressPractice Location Address
Abby Jacobson, MA, LCDP
63 Harmony Hill Rd,
Chepachet, RI 02814-1429

Ph: (401) 949-0690
Abby Jacobson, MA, LCDP
63 Harmony Hill Rd,
Chepachet, RI 02814-1429

Ph: (401) 949-0690

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