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MS. ELLEN MARIE JACOB LCSW, CDP
NPI 1285415059
Social Worker - Clinical in Venice, FL

Active since October 09, 2023PECOS Enrolled
302 FALLS OF VENICE CIR, VENICE, FL 34292(904) 607-0160 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Apr 28, 2026, Jan 10, 2025 and 1 more (4 updates tracked since 2023).

About Ms. Ellen Marie Jacob Lcsw, Cdp NPPES

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

MS. ELLEN MARIE JACOB LCSW, CDP (NPI 1285415059) is an individual clinical provider in Venice, Florida, licensed in Florida (24099) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1285415059
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. ELLEN MARIE JACOBCredential: LCSW, CDP
Location Address302 FALLS OF VENICE CIRVenice, FL 34292-3979
Mailing Address11541 Shady Acres PathVenice, FL 34293-8140 · (904) 607-0160
Phone(904) 607-0160
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 9, 2023
Last NPPES UpdateMay 28, 20264 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1285415059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in FL · 24099✔ Licensed in ID · 1881606✔ Licensed in VT · 089.013646161TELE
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.
302 FALLS OF VENICE CIR, Venice, FL 34292
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Other Names 1

Former Name (1)Ellen Long Lcsw, Cdp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Ellen Marie Jacob Lcsw, Cdp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799255469
PECOS Enrollment IDI20260530000472
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 34292 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 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 Ellen Jacob's NPI number?

The NPI number for Ellen Jacob is 1285415059. It was assigned to this individual provider in the NPPES registry on October 9, 2023. The provider is also known as Ellen Long Lcsw, Cdp.

Where is Ellen Jacob located?

Ellen Jacob practices at 302 Falls Of Venice Cir, Venice, FL 34292. The listed phone number is (904) 607-0160.

What is Ellen Jacob's specialty?

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

Is Ellen Jacob enrolled in Medicare?

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

What insurance does Ellen Jacob accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Ellen 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 Ellen Jacob was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.