Maria Letizia Jacobson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

062020 Issued in NY

Practice address

65 Broadway Ste 505
New York, NY 10006-2540

Phone

(212) 677-6550

NPI assigned

Nov 30, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Maria Letizia Jacobson-Gross Other name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jewish Board of Family & Childrens Services Inc

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1689755662

  NY

  Medicare reassignment NPD
• Senior Care Therapy LCSW of New York PLLC

  • Clinical Social Worker
  • Flushing, NY
  • NPI 1932677168

  NY

  Medicare reassignment NPD
• Jewish Board of Family and Children'S Services, Inc

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1821273459
  NPD
• Jewish Board of Family and Children'S Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
  • NPI 1760173579
  NPD
• The Epilepsy Institute

  • Clinical Social Worker
  • New York, NY
  • NPI 1184797284
  NPD (past)
• The Epilepsy Institute

  • Adult Mental Health Clinic/Center
  • New York, NY
  • NPI 1255629127
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1508370438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BROADWAY STE 505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062540",
            "telephone_number": "212-677-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BROADWAY STE 505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062540",
            "telephone_number": "212-677-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MARIA",
        "middle_name": "LETIZIA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "062020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "JACOBSON-GROSS",
            "middle_name": "LETIZIA",
            "prefix": "MS.",
            "credential": "CRC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kenneth H Jacobson, MD
• Laura Lee Jacobson, LCSW
• Lawrence David Jacobson, PH.D.
• Leslie Jacobson, M.D.
• Lyn Jacobson, LMSW
• Mark Nathan Jacobson, DDS
• Michael Jacobson, MD
• Robin Sue Jacobson, MD
• Roseann Jacobson, DIPL.AC.
• Samuel David Jacobson, MD

• All providers in New York, NY
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.