JANE JACOB
NPI 1124616982
Social Worker - Clinical in Commerce, CA

Q: What is Jane Jacob's NPI number?

The NPI number for Jane Jacob is 1124616982. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Q: What is Jane Jacob'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 Jane Jacob was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 07, 2021PECOS Enrolled

5400 E OLYMPIC BLVD FL 1, COMMERCE, CA 90022(323) 869-9255 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, Jan 7, 2021 (2 updates tracked since 2021).

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About Jane Jacob NPPES

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

JANE JACOB (NPI 1124616982) is an individual clinical provider in Commerce, California, licensed in California (119463) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124616982

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJANE JACOB

Location Address5400 E OLYMPIC BLVD FL 1Commerce, CA 90022-5147

Mailing Address815 Colorado Blvd Ste 300Los Angeles, CA 90041-1744 · (323) 543-2800 · Fax (323) 978-1263

Phone(323) 869-9255

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 7, 2021

Last NPPES UpdateMay 7, 20242 updates tracked since enumeration

NPPES CertifiedMarch 11, 2024

✔ NPI 1124616982 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 CA · 119463

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.

5400 E OLYMPIC BLVD FL 1, Commerce, CA 90022

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Jane Jacob is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981118510

PECOS Enrollment IDI20250707003928

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 90022 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 $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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