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JACK HAMILTON MCCOY LMSW
NPI 1275338956
Social Worker - Clinical in Saint Louis, MO

Active since February 17, 2025PECOS Enrolled
418 LONGFELLOW AVE, SAINT LOUIS, MO 63122(314) 277-3839 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jack Hamilton Mccoy Lmsw NPPES

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

JACK HAMILTON MCCOY LMSW (NPI 1275338956) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2023048726) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275338956
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACK HAMILTON MCCOYCredential: LMSW
Location Address418 LONGFELLOW AVESaint Louis, MO 63122-3829
Mailing Address418 Longfellow AveSaint Louis, MO 63122-3829 · (314) 277-3839
Phone(314) 277-3839
Sole ProprietorYes
Enumeration DateFebruary 17, 2025
NPPES CertifiedFebruary 17, 2025
✔ NPI 1275338956 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 MO · 2023048726
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.
418 LONGFELLOW AVE, Saint Louis, MO 63122
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Hamilton Mccoy Lmsw 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 Reassignment

Medicare enrollment records show Jack Mccoy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssm Health Care St Louis
5.2 mi
Emergency Medicine
1015 BOWLES AVENUE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1275586174 (636) 496-2502

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 63122 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 $55.65 – $169.38
Typical copayment $0.00 (range $13.91 – $42.34)
Most-billed visit code NA
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 Jack Mccoy's NPI number?

The NPI number for Jack Mccoy is 1275338956. It was assigned to this individual provider in the NPPES registry on February 17, 2025.

Where is Jack Mccoy located?

Jack Mccoy practices at 418 Longfellow Ave, Saint Louis, MO 63122. The listed phone number is (314) 277-3839.

What is Jack Mccoy's specialty?

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

Is Jack Mccoy enrolled in Medicare?

Yes. Jack Mccoy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jack Mccoy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Mccoy reassigns Medicare benefits to Ssm Health Care St Louis (Fenton, MO). The 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 Jack Mccoy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Mccoy was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.