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JOHN JACOB
NPI 1245616549
Social Worker - Clinical in Manchester, CT

Active since August 10, 2015PECOS Enrolled
444 CENTER ST, MANCHESTER, CT 06040(860) 646-3888(860) 645-4132 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Jacob NPPES

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

JOHN JACOB (NPI 1245616549) is an individual clinical provider in Manchester, Connecticut and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245616549
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN JACOB
Location Address444 CENTER STManchester, CT 06040-3926
Mailing Address995 Day Hill RdWindsor, CT 06095-1722 · (860) 731-5522 · Fax (860) 731-5536
Phone(860) 646-3888
Fax(860) 645-4132
Sole ProprietorNo
Enumeration DateAugust 10, 2015
Last NPPES UpdateJanuary 17, 2019
✔ NPI 1245616549 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
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 ListedCounselorTaxonomy 101Y00000X
444 CENTER ST, Manchester, CT 06040
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Jacob 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 06040 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

SYLVESTER ESANGBEDO
Social Worker
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
ELSA REYES
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
MEGAN E MCLAUGHLIN
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
ALIYA E JASENSKY
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
LYNDA DYER
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
EDITH A DENNIS
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
JOANNE LABBADIA
Counselor (Mental Health)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
SASHAGAYE MARSH
Counselor (Professional)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 731-5522

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 John Jacob's NPI number?

The NPI number for John Jacob is 1245616549. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Where is John Jacob located?

John Jacob practices at 444 Center St, Manchester, CT 06040. The listed phone number is (860) 646-3888.

What is John Jacob's specialty?

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

Is John Jacob enrolled in Medicare?

Yes. John Jacob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Jacob was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.