JESSICA REVELL LCSW
NPI 1093328965
Social Worker - Clinical in Philadelphia, PA

Q: What is Jessica Revell's NPI number?

The NPI number for Jessica Revell is 1093328965. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Q: What is Jessica Revell'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 Jessica Revell was last updated on April 17, 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 August 28, 2020PECOS Enrolled

1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146(215) 925-2400 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2025, May 12, 2023, Mar 16, 2021 and 1 more (4 updates tracked since 2020).

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About Jessica Revell Lcsw NPPES

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

JESSICA REVELL LCSW (NPI 1093328965) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW023411) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1093328965

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA REVELLCredential: LCSW

Location Address1401 S 31ST ST FL 2Philadelphia, PA 19146-3506

Mailing Address12100 Skyview DrEdinboro, PA 16412-1327 · (814) 490-4899

Phone(215) 925-2400

Sole ProprietorNo

Enumeration DateAugust 28, 2020

Last NPPES UpdateApril 17, 20254 updates tracked since enumeration

NPPES CertifiedApril 17, 2025

✔ NPI 1093328965 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 PA · CW023411

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 ListedSocial WorkerTaxonomy 104100000X · License SW137073 (PA)

1401 S 31ST ST FL 2, Philadelphia, PA 19146

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Secondary Practice Location 1

Location 11330 W 26th StErie, PA 16508-1402 · Phone (814) 459-9300

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Revell Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 19146 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 $59.88 – $180.99

Typical copayment $0.00 (range $14.97 – $45.24)

Most-billed visit code NA

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

GABRIELA NAHIR ROSARIO VEGA PA-C

Physician Assistant