ROSS JACOB LCSW
NPI 1316233794
Social Worker - Clinical in Chicago, IL

Active since June 23, 2011PECOS Enrolled
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613(773) 572-5500 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ross Jacob Lcsw NPPES

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

ROSS JACOB LCSW (NPI 1316233794) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149-011193) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1316233794
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameROSS JACOBCredential: LCSW
Location Address4101 N RAVENSWOOD AVEChicago, IL 60613-2193
Mailing Address4101 N Ravenswood AveChicago, IL 60613-2193
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 23, 2011
NPI 1316233794 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 · 149-011193
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.
4101 N RAVENSWOOD AVE, Chicago, IL 60613

Other Identifiers 1

Other149-011193IL · Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ross Jacob Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820590532
PECOS Enrollment IDI20250915002811
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 60613 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.

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.

Psychologist (Clinical)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Social Worker (Clinical)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Social Worker (Clinical)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Psychiatry & Neurology (Psychiatry)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Counselor (Mental Health)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Social Worker (Clinical)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Social Worker (Clinical)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Psychiatry & Neurology (Psychiatry)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613

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 Ross Jacob's NPI number?

The NPI number for Ross Jacob is 1316233794. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Ross Jacob located?

Ross Jacob practices at 4101 N Ravenswood Ave, Chicago, IL 60613. The listed phone number is (773) 572-5500.

What is Ross Jacob's specialty?

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

Is Ross Jacob enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ross Jacob was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.