Active NPI
Rachel E Jacobs, CSW
- Social Worker
- Lexington, KY
National Provider Identifier
1982744892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4530
- Practice address
- 2220 Young Dr
Lexington, KY 40505-4219 - Phone
- (859) 253-1686
- Fax
- (859) 254-2743
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4530 | KY | Primary |
Addresses
Primary practice location
2220 Young Dr
Lexington, KY 40505-4219
Mailing address
1351 Newtown Pike
Lexington, KY 40511-1217
Phone (859) 253-1686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30615058 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161027000425 | KY | Practitioner - Clinical Social Worker | 9931487899 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4530 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1982744892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 NEWTOWN PIKE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111217",
"telephone_number": "859-253-1686",
"fax_number": "859-254-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 YOUNG DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405054219",
"telephone_number": "859-253-1686",
"fax_number": "859-254-2743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "RACHEL",
"middle_name": "E",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "4530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30615058",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.