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JACOB WILLIAMS
NPI 1386423663
Social Worker - Clinical in Indianapolis, IN

Active since September 26, 2023PECOS Enrolled
429 N PENNSYLVANIA ST STE 111, INDIANAPOLIS, IN 46204(855) 284-7483(617) 807-0958 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Williams NPPES

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

JACOB WILLIAMS (NPI 1386423663) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (34010490A) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386423663
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACOB WILLIAMS
Location Address429 N PENNSYLVANIA ST STE 111Indianapolis, IN 46204-1873
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483 · Fax (617) 807-0958
Phone(855) 284-7483
Fax(617) 807-0958
Sole ProprietorNo
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1386423663 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 IN · 34010490A
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.
429 N PENNSYLVANIA ST STE 111, Indianapolis, IN 46204
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Williams 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46204 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 4

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

ANDREA SUE CAMPBELL LCSW
Social Worker (Clinical)
429 N PENNSYLVANIA ST STE 111
INDIANAPOLIS, IN 46204
Marion County (855) 284-7483
COURTNEY ENGLISH
Health Educator
429 N PENNSYLVANIA ST STE 111
INDIANAPOLIS, IN 46204
Marion County (317) 522-2392
THRIVEWORKS TELEPSYCHIATRY - INDIANA PC
Counselor (Mental Health)
429 N PENNSYLVANIA ST STE 111
INDIANAPOLIS, IN 46204
Marion County (855) 284-7483
NICOLE HARKER-LANE
Social Worker (Clinical)
429 N PENNSYLVANIA ST STE 111
INDIANAPOLIS, IN 46204
Marion County (605) 204-2767

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 Jacob Williams's NPI number?

The NPI number for Jacob Williams is 1386423663. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Jacob Williams located?

Jacob Williams practices at 429 N Pennsylvania St Ste 111, Indianapolis, IN 46204. The listed phone number is (855) 284-7483.

What is Jacob Williams's specialty?

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

Is Jacob Williams enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Williams was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.