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ANNETTE L JACOB LICSW
NPI 1174629869
Social Worker - Clinical in Saint Paul, MN

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
2550 UNIVERSITY AVE W, SUITE 435S, SAINT PAUL, MN 55114(651) 647-1900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Annette L Jacob Licsw NPPES

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

ANNETTE L JACOB LICSW (NPI 1174629869) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (11266) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1174629869
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNETTE L JACOBCredential: LICSW
Location Address2550 UNIVERSITY AVE W, SUITE 435SSaint Paul, MN 55114-1052
Mailing Address2338 Doswell AveSaint Paul, MN 55108-1631 · (651) 647-1900
Phone(651) 647-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174629869 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 MN · 11266
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.
2550 UNIVERSITY AVE W, Saint Paul, MN 55114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, 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 and accepts Medicare assignment

Annette L Jacob Licsw 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 ID941216717
PECOS Enrollment IDI20060302000620
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.

Areas of Expertise CMS Part B claims

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.
79 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55114 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

MRS. MELISSA LEA URBANEK LMFT
Marriage & Family Therapist
2550 UNIVERSITY AVE W, STE 435 S
SAINT PAUL, MN 55114
Ramsey County (651) 647-1900
MICHELLE S KENNEDY MD
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Ramsey County (612) 870-5557
TYANN ZEAL R.D., L.D.
Dietitian, Registered
2550 UNIVERSITY AVE W
SAINT PAUL, MN 55114
Ramsey County (952) 993-6200
AMY LAWRENCE L.M.F.T.
Marriage & Family Therapist
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Ramsey County (651) 645-5323
SHANNON O'DONNELL L.P.
Psychologist (Clinical)
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Ramsey County (651) 645-5323
EMILY KATHRYN KAHNERT DPT
Physical Therapist
2550 UNIVERSITY AVE W, SUITE 189S
SAINT PAUL, MN 55114
Ramsey County (651) 332-7474
GERALD PATRICK CRIMMINS PSYD CP
Psychologist
2550 UNIVERSITY AVE W, STE 229N
SAINT PAUL, MN 55114
Ramsey County (651) 645-3115
CARMEN JEAN JACOBSON P.A.-C
Physician Assistant (Medical)
2550 UNIVERSITY AVE W, SUITE 110N
SAINT PAUL, MN 55114
Ramsey County (651) 602-5311

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 Annette Jacob's NPI number?

The NPI number for Annette Jacob is 1174629869. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Annette Jacob located?

Annette Jacob practices at 2550 University Ave W Suite 435S, Saint Paul, MN 55114. The listed phone number is (651) 647-1900.

What is Annette Jacob's specialty?

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

Is Annette Jacob enrolled in Medicare?

Yes. Annette 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.

What insurance does Annette Jacob accept?

Health plans from HealthPartners and Providence Health Plan list Annette Jacob 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 Annette Jacob was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.