Michelle C Jacobson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW3033 Issued in FL

Practice address

4360 Northlake Blvd
Suite 209
Palm Beach Gardens, FL 33410-6274

Phone

(561) 371-1885

Fax

(561) 624-6137

NPI assigned

Feb 8, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• Child and Family Therapy Associates, P.a.

  • Clinical Social Worker
  • Palm Beach Gardens, FL
  • NPI 1952610818
  Medicare reassignment NPD Authorized official
• Ask Therapist Fran, LLC

  • Clinical Social Worker
  • Royal Palm Beach, FL
  • NPI 1619291424
  NPD (past)

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1689852956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 E COMMUNITY DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588217",
            "telephone_number": "561-371-1885",
            "fax_number": "561-624-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 NORTHLAKE BLVD",
            "address_2": "SUITE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106274",
            "telephone_number": "561-371-1885",
            "fax_number": "561-624-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Z5084",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Louise Jackson, MSN, APRN, WHNP-BC
• Natasha Monique Jackson, DPT
• Michael A Jacobs, MD PA
• Tara Jacobs, NP-C
• Evan L Jacobson, M.D.
• Andrew Todd Jaffe, M.D.
• Diane Jane Jagoda, MSW
• Ragena Montana Lisa Jagon
• James C Dee DMD
• James H Chen Jr DMD PA

• Clinical Social Worker in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.