Melinda Sue Jacobs, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW135113 Issued in PA

Practice address

9709 Lincoln Hwy
Bedford, PA 15522-3717

Phone

(814) 652-3220

NPI assigned

Jan 29, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pittsburgh Care Partnership, Inc.

  • PACE Provider Organization
  • McKeesport, PA
  • NPI 1437205952
  NPD (past)

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1861023830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 LINCOLN HWY",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155223717",
            "telephone_number": "814-652-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9709 LINCOLN HWY",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155223717",
            "telephone_number": "814-652-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MELINDA",
        "middle_name": "SUE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essam Naguib Ibrahim, D.M.D.
• Ickes Drug Store
• Carol Lee Ickes
• Robyn Faith Isgan, DPT
• Shaylee Breanne Jackson
• Janidlo Optometry PC
• Heather Kerr Janidlo, OD
• Andrew David Jeffers, DMD
• Danielle F Johnson, B.A
• Emily J Jones, M.S.

• Social Worker in Bedford, PA
• Providers in Bedford, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.