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MRS. LYNETTE KAYE JACOB LCSW
NPI 1093466476
Social Worker - Clinical in Montross, VA

Active since January 17, 2022PECOS EnrolledAccepts Medicare Assignment
290 HAULOVER CIR, MONTROSS, VA 22520(703) 606-2880 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 6, 2026, Jan 17, 2022 (2 updates tracked since 2022).

About Mrs. Lynette Kaye Jacob Lcsw NPPES

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

MRS. LYNETTE KAYE JACOB LCSW (NPI 1093466476) is an individual clinical provider in Montross, Virginia, licensed in Virginia (0904013293) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1093466476
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LYNETTE KAYE JACOBCredential: LCSW
Location Address290 HAULOVER CIRMontross, VA 22520-8809
Mailing Address290 Haulover CirMontross, VA 22520-8809 · (703) 606-2880
Phone(703) 606-2880
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 17, 2022
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1093466476 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 VA · 0904013293
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.
290 HAULOVER CIR, Montross, VA 22520
Open in Google Maps ↗

Other Identifiers 1

Other4M9UNF3VA · Nasw Insurance Company, Rrg

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lynette Kaye Jacob Lcsw 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 ID8325421977
PECOS Enrollment IDI20220816000558
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lynette Jacob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Potomac Family Counseling, LLC
Same address
Clinical
290 HAULOVER CIR
Montross, VA 22520
  • Reassigned Medicare billing, Virginia enrollment
NPI 1528798360 (703) 606-2880
Mental Health Specialty Group PA
190 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Virginia enrollment
  • 128 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
206 services22 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
21 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22520 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 $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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

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

POTOMAC FAMILY COUNSELING, LLC
Social Worker (Clinical)
290 HAULOVER CIR
MONTROSS, VA 22520
Westmoreland County (703) 606-2880

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 Lynette Jacob's NPI number?

The NPI number for Lynette Jacob is 1093466476. It was assigned to this individual provider in the NPPES registry on January 17, 2022.

Where is Lynette Jacob located?

Lynette Jacob practices at 290 Haulover Cir, Montross, VA 22520. The listed phone number is (703) 606-2880.

What is Lynette Jacob's specialty?

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

Is Lynette Jacob enrolled in Medicare?

Yes. Lynette Jacob 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.

Which organizations bill Medicare for Lynette Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynette Jacob reassigns Medicare benefits to 2 organizations: Potomac Family Counseling, LLC (Montross, VA) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lynette Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lynette Jacob was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.