Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul G Jacoby, LCSW

Individual provider Mental Health Counselor · NPI 1063708360

Paul G Jacoby, LCSW is a Clinical Social Worker in Rochester, New York. Qualified in 2015, 11 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

36 Winthrop St
Rochester, NY 14607-1326
Phone: (585) 460-0066
Fax: (585) 461-0038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 092320 (NY)

Record details

NPI number1063708360
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 24, 2011
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022
Mailing address36 Winthrop St, Rochester, NY 14607-1326

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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