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JACLYN MARIE SEMMELES MSW, LCSW
NPI 1255809802
Social Worker - Clinical in Norwalk, CT

Active since November 12, 2018PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
24 STEVENS ST, NORWALK, CT 06850(203) 852-2292(203) 899-5206 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2023, Oct 10, 2023, Dec 5, 2019 and 1 more (4 updates tracked since 2018).

About Jaclyn Marie Semmeles Msw, Lcsw NPPES

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

JACLYN MARIE SEMMELES MSW, LCSW (NPI 1255809802) is an individual clinical provider in Norwalk, Connecticut, licensed in Connecticut (58.009705) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1255809802
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACLYN MARIE SEMMELESCredential: MSW, LCSW
Location Address24 STEVENS STNorwalk, CT 06850
Mailing Address1 E Hayestown Rd Unit 7Danbury, CT 06811-2501 · (203) 723-3588
Phone(203) 852-2292
Fax(203) 899-5206
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 12, 2018
Last NPPES UpdateNovember 20, 20234 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1255809802 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 CT · 58.009705
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.
24 STEVENS ST, Norwalk, CT 06850
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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 and accepts Medicare assignment

Jaclyn Marie Semmeles Msw, 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 ID5395179451
PECOS Enrollment IDI20191223002005
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 06850 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

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.

DR. EVE BLOCK MD
Internal Medicine (Hospice and Palliative Medicine)
24 STEVENS ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2665
RUTH C PERRY CRNA
Nurse Anesthetist, Certified Registered
24 STEVENS ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2276
DR. RICHARD LAWRENCE MAIBERGER M.D.
Psychiatry & Neurology (Psychiatry)
24 STEVENS ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2293
RICHARD A HUGHES MD
Anesthesiology
24 STEVENS ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2276
MRS. ERIKA JAYNE PEARL PA-C
Physician Assistant (Surgical)
24 STEVENS ST, NORWALK HOSPITAL DEPARTMENT OF SURGERY
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2464
JAN CRISTOPHER HERNANDEZ DE GUZMAN PHARMD, MSF, RPH
Pharmacist
24 STEVENS ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2690
PAUL R BEILES MD
Anesthesiology
24 STEVENS ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2276
MS. IRIS NAGIN RNP
Nurse Practitioner (Adult Health)
24 STEVENS ST, HOSPITALIST SUITE
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-3072

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 Jaclyn Semmeles's NPI number?

The NPI number for Jaclyn Semmeles is 1255809802. It was assigned to this individual provider in the NPPES registry on November 12, 2018.

Where is Jaclyn Semmeles located?

Jaclyn Semmeles practices at 24 Stevens St, Norwalk, CT 06850. The listed phone number is (203) 852-2292.

What is Jaclyn Semmeles's specialty?

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

Is Jaclyn Semmeles enrolled in Medicare?

Yes. Jaclyn Semmeles 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 Jaclyn Semmeles accept?

Health plans from Providence Health Plan list Jaclyn Semmeles 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 Jaclyn Semmeles was last updated on November 20, 2023. 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.