JACOB D CROSBY LISW, LICDC
NPI 1508306382
Social Worker - Clinical in Lorain, OH

Q: What is Jacob Crosby's NPI number?

The NPI number for Jacob Crosby is 1508306382. It was assigned to this individual provider in the NPPES registry on February 28, 2017.

Q: What is Jacob Crosby's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Crosby was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since February 28, 2017PECOS Enrolled

6140 S BROADWAY, LORAIN, OH 44053(440) 233-7232(440) 233-9070 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 28, 2025, Aug 23, 2024, Feb 28, 2017 (3 updates tracked since 2017).

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About Jacob D Crosby Lisw, Licdc NPPES

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

JACOB D CROSBY LISW, LICDC (NPI 1508306382) is an individual clinical provider in Lorain, Ohio, licensed in Ohio (I.2304680-SUPV) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1508306382

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJACOB D CROSBYCredential: LISW, LICDC

Location Address6140 S BROADWAYLorain, OH 44053-3821

Mailing Address6140 S BroadwayLorain, OH 44053-3821 · (440) 233-7232 · Fax (440) 246-4930

Phone(440) 233-7232

Fax(440) 233-9070

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 28, 2017

Last NPPES UpdateMay 28, 20253 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1508306382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · I.2304680-SUPV

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.162822 (OH)

6140 S BROADWAY, Lorain, OH 44053

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob D Crosby Lisw, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466937545

PECOS Enrollment IDI20260326002464

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 44053 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 $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JAMILLET TORRES

Case Manager/Care Coordinator