Individual ProviderCassie JacobsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address708 Mobjack Pl, Newport News, VA 23606-1957(518) 290-6157(757) 693-4285PECOS EnrollmentBased on the most recent information from CMS, provider Cassie Jacobs is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194100461Provider TypeIndividualFull NameJacobs, CassieTitleMrs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date7/28/2015Last Updated4/28/2020Contact InformationPractice LocationPractice Address708 Mobjack Pl, Newport News, VA 23606-1957Phone(518) 290-6157FaxUnlisted FaxMailing LocationMailing Address708 Mobjack Pl, Newport News, VA 23606-1957Phone(757) 693-4285FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0904009094Virginia