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MS. BERTHA ELIZABETH JACOBS LCSW R
NPI 1316133382
Social Worker - Clinical in Syracuse, NY

Active since September 24, 2007PECOS EnrolledAccepts Medicare Assignment
226 RANDOLPH STREET, SYRACUSE, NY 13205(315) 492-6094 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Bertha Elizabeth Jacobs Lcsw R NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BERTHA ELIZABETH JACOBS LCSW R (NPI 1316133382) is an individual clinical provider in Syracuse, New York, licensed in New York (036843) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1987).

NPPES Registry Identity

NPI1316133382
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. BERTHA ELIZABETH JACOBSCredential: LCSW R
Location Address226 RANDOLPH STREETSyracuse, NY 13205
Mailing Address226 Randolph StreetSyracuse, NY 13205 · (315) 492-6094
Phone(315) 492-6094
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1987
Enumeration DateSeptember 24, 2007
✔ NPI 1316133382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 036843
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
226 RANDOLPH STREET, Syracuse, NY 13205
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Other Names 1

Other Name (5)Bertha Elizabeth Bynoe Jacobs Lcsw R

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Bertha Elizabeth Jacobs Lcsw R is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779673140
PECOS Enrollment IDI20071221000368
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bertha Jacobs's NPI number?

The NPI number for Bertha Jacobs is 1316133382. It was assigned to this individual provider in the NPPES registry on September 24, 2007. The provider is also known as Bertha Elizabeth Bynoe Jacobs Lcsw R.

Where is Bertha Jacobs located?

Bertha Jacobs practices at 226 Randolph Street, Syracuse, NY 13205. The listed phone number is (315) 492-6094.

What is Bertha Jacobs's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Bertha Jacobs enrolled in Medicare?

Yes. Bertha Jacobs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bertha Jacobs was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.