Rebecca Wolf Jacobson | Chicago, IL • PECOS Search

Rebecca Wolf Jacobson

Social Worker

Behavioral Health & Social Service Providers

1827 N Dayton St Unit E, Chicago, IL 60614-0999

PECOS Enrollment

Based on the most recent information from CMS, provider Rebecca Wolf Jacobson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1528581790
Provider Type
Individual
Full Name
Jacobson, Rebecca Wolf
Credential
MSW, LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
7/19/2017
Last Updated
7/21/2022

Contact Information

Practice Location

1827 N Dayton St Unit E, Chicago, IL 60614-0999

Unlisted Fax

Mailing Location

1827 N Dayton St Unit E, Chicago, IL 60614-0999

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.017896 Illinois