JESSICA LARSEN LCSW
NPI 1265801096
Social Worker - Clinical in Chicago, IL

Active since September 22, 2015PECOS Enrolled
3542 W BEACH AVE, CHICAGO, IL 60651(630) 667-8625 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2018, Nov 21, 2016 (2 updates tracked since 2016).

About Jessica Larsen Lcsw NPPES

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

JESSICA LARSEN LCSW (NPI 1265801096) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.017937) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265801096
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA LARSENCredential: LCSW
Location Address3542 W BEACH AVEChicago, IL 60651-2201
Mailing Address3542 W Beach AveChicago, IL 60651-2201 · (630) 667-8625
Sole ProprietorYes
Enumeration DateSeptember 22, 2015
Last NPPES UpdateOctober 4, 20182 updates tracked since enumeration
✔ NPI 1265801096 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 IL · 149.017937
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.
3542 W BEACH AVE, Chicago, IL 60651

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Larsen Lcsw 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jessica Larsen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
3202 W NORTH AVE
Chicago, IL 60647
  • Reassigned Medicare billing, Illinois enrollment
  • 413 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2409 N CLYBOURN AVE
Chicago, IL 60614
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Illinois enrollment
  • 68 clinicians in this Medicare group
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Illinois enrollment
  • 68 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60651 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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 Jessica Larsen's NPI number?

The NPI number for Jessica Larsen is 1265801096. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Where is Jessica Larsen located?

Jessica Larsen practices at 3542 W Beach Ave, Chicago, IL 60651. The listed phone number is (630) 667-8625.

What is Jessica Larsen's specialty?

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

Is Jessica Larsen enrolled in Medicare?

Yes. Jessica Larsen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Larsen reassigns Medicare benefits to 4 organizations: Access Community Health Network (Chicago, IL), Calling Care Services Inc. (Chicago, IL), Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, TX). 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 Jessica Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Larsen accept?

Health plans from Anthem Blue Cross and Blue Shield list Jessica Larsen 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 Jessica Larsen was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.