JEANNINE CLEAVER LCSW
NPI 1336591924
Social Worker - Clinical in Mystic, CT

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
12 ROOSEVELT AVE, MYSTIC, CT 06355(602) 459-8408 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2024, Nov 2, 2018 (2 updates tracked since 2018).

About Jeannine Cleaver Lcsw NPPES

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

JEANNINE CLEAVER LCSW (NPI 1336591924) is an individual clinical provider in Mystic, Connecticut, licensed in Connecticut (10396) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336591924
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJEANNINE CLEAVERCredential: LCSW
Location Address12 ROOSEVELT AVEMystic, CT 06355-2809
Mailing Address12 Roosevelt Ave # Mailbox5Mystic, CT 06355-2809 · (602) 459-8408
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 7, 2016
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1336591924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CT · 10396
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.
Also ListedCounselorTaxonomy 101Y00000X
12 ROOSEVELT AVE, Mystic, CT 06355

Other Names 1

Former Name (1)Jeannine Gemma

Accepted 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

Jeannine Cleaver 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 ID7517396781
PECOS Enrollment IDI20221210000472
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 06355 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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
12 ROOSEVELT AVE, APROMA STUDIOS
MYSTIC, CT 06355
Optometrist
12 ROOSEVELT AVE
MYSTIC, CT 06355
Naturopath
12 ROOSEVELT AVE
MYSTIC, CT 06355
Social Worker (Clinical)
12 ROOSEVELT AVE, SUITE 203
MYSTIC, CT 06355
Marriage & Family Therapist
12 ROOSEVELT AVE
MYSTIC, CT 06355
Dentist (General Practice)
12 ROOSEVELT AVE
MYSTIC, CT 06355
Counselor (Professional)
12 ROOSEVELT AVE
MYSTIC, CT 06355
Naturopath
12 ROOSEVELT AVE
MYSTIC, CT 06355

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 Jeannine Cleaver's NPI number?

The NPI number for Jeannine Cleaver is 1336591924. It was assigned to this individual provider in the NPPES registry on July 7, 2016. The provider is also known as Jeannine Gemma.

Where is Jeannine Cleaver located?

Jeannine Cleaver practices at 12 Roosevelt Ave, Mystic, CT 06355. The listed phone number is (602) 459-8408.

What is Jeannine Cleaver's specialty?

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

Is Jeannine Cleaver enrolled in Medicare?

Yes. Jeannine Cleaver 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 Jeannine Cleaver accept?

Health plans from Providence Health Plan list Jeannine Cleaver 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 Jeannine Cleaver was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.