Individual ProviderJessica Erin-Gershonowicz JacobsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6773 W Maple Rd, W Bloomfield, MI 48322-3013(248) 661-6100PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Erin-Gershonowicz Jacobs does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1205932746Provider TypeIndividualFull NameJacobs, Jessica Erin-GershonowiczTitleMrs.CredentialMSWGenderFemaleSole ProprietorNoEnumeration Date9/15/2006Last Updated5/3/2011Contact InformationPractice LocationPractice Address6773 W Maple Rd, W Bloomfield, MI 48322-3013Phone(248) 661-6100Fax(248) 661-7347Mailing LocationMailing Address6773 W Maple Rd, W Bloomfield, MI 48322-3013Phone(248) 661-6100Fax(248) 661-7347Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer