MRS. ANDREA HORVITZ JACOBSEN LICSW
NPI 1730345166
Social Worker - Clinical in Dorchester, MA

Active since August 05, 2008Opted out of Medicare · through Feb 28, 2028
1500 DORCHESTER AVE, DORCHESTER, MA 02122(617) 825-5000 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Andrea Horvitz Jacobsen Licsw NPPES

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

MRS. ANDREA HORVITZ JACOBSEN LICSW (NPI 1730345166) is an individual clinical provider in Dorchester, Massachusetts, licensed in Massachusetts (113767) and active in the NPI registry since August 2008. She has opted out of Medicare through February 28, 2028.

NPPES Registry Identity

NPI1730345166
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ANDREA HORVITZ JACOBSENCredential: LICSW
Location Address1500 DORCHESTER AVEDorchester, MA 02122-1327
Mailing Address69 Clapp StAbington, MA 02351-2305 · (617) 335-1601
Sole ProprietorNo
Enumeration DateAugust 5, 2008
Last NPPES UpdateAugust 19, 2011
NPI 1730345166 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 MA · 113767
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.
1500 DORCHESTER AVE, Dorchester, MA 02122

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Andrea Horvitz Jacobsen Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2026 through February 28, 2028.

Opt-Out Effective DateFebruary 28, 2026
Opt-Out In Effect ThroughFebruary 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

Social Worker (Clinical)
1500 DORCHESTER AVE
DORCHESTER, MA 02122
Social Worker (Clinical)
1500 DORCHESTER AVE
DORCHESTER, MA 02122
Social Worker (School)
1500 DORCHESTER AVE
DORCHESTER, MA 02122
Counselor (Addiction (Substance Use Disorder))
1500 DORCHESTER AVE
DORCHESTER, MA 02122
Social Worker (Clinical)
1500 DORCHESTER AVE, KIT CLARK SENIOR SERVICES
DORCHESTER, MA 02122
Social Worker (Clinical)
1500 DORCHESTER AVE
DORCHESTER, MA 02122
Counselor (Mental Health)
1500 DORCHESTER AVE
DORCHESTER, MA 02122
Social Worker (Clinical)
1500 DORCHESTER AVE
BOSTON, MA 02122

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 Andrea Jacobsen's NPI number?

The NPI number for Andrea Jacobsen is 1730345166. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Andrea Jacobsen located?

Andrea Jacobsen practices at 1500 Dorchester Ave, Dorchester, MA 02122. The listed phone number is (617) 825-5000.

What is Andrea Jacobsen's specialty?

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

Is Andrea Jacobsen enrolled in Medicare?

No. Andrea Jacobsen has opted out of Medicare through February 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Andrea Jacobsen accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Andrea Jacobsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Jacobsen was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.