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CARLY RAE JACQUES LCSW
NPI 1467022830
Social Worker - Clinical in New Milford, CT

Active since June 29, 2021PECOS Enrolled
325 DANBURY RD, NEW MILFORD, CT 06776(860) 354-8556 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2022, Jun 29, 2021 (2 updates tracked since 2021).

About Carly Rae Jacques Lcsw NPPES

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

CARLY RAE JACQUES LCSW (NPI 1467022830) is an individual clinical provider in New Milford, Connecticut, licensed in Connecticut (012182) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467022830
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLY RAE JACQUESCredential: LCSW
Location Address325 DANBURY RDNew Milford, CT 06776-4344
Mailing Address75 West StDanbury, CT 06810-6528 · (860) 354-8556 · Fax (860) 354-3975
Phone(860) 354-8556
Sole ProprietorNo
Enumeration DateJune 29, 2021
Last NPPES UpdateMay 20, 20222 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1467022830 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 · 012182
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 ListedSocial WorkerTaxonomy 104100000X · License MSW.005035 (CT)
325 DANBURY RD, New Milford, CT 06776
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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)

Carly Rae Jacques Lcsw 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 06776 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 2

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

EDWARD HARRISON JUDY
Counselor (Mental Health)
325 DANBURY RD
NEW MILFORD, CT 06776
Western Connecticut Planning Region (203) 748-5689
KENNIA PORTILLO LMSW
Social Worker
325 DANBURY RD
NEW MILFORD, CT 06776
Western Connecticut Planning Region (860) 681-4239

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 Carly Jacques's NPI number?

The NPI number for Carly Jacques is 1467022830. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Carly Jacques located?

Carly Jacques practices at 325 Danbury Rd, New Milford, CT 06776. The listed phone number is (860) 354-8556.

What is Carly Jacques's specialty?

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

Is Carly Jacques enrolled in Medicare?

Yes. Carly Jacques is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Jacques was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.