MR. JASON ELIJAH SPANN LCSW
NPI 1497088520
Social Worker - Clinical in Bridgeport, CT

Active since September 08, 2009PECOS EnrolledAccepts Medicare Assignment
75.96/100
CMS Quality Rating
1057 BROAD ST FL 3, BRIDGEPORT, CT 06604(203) 996-2661(203) 336-6525 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jason Elijah Spann Lcsw NPPES

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

MR. JASON ELIJAH SPANN LCSW (NPI 1497088520) is an individual clinical provider in Bridgeport, Connecticut, licensed in Connecticut (7106) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1497088520
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JASON ELIJAH SPANNCredential: LCSW
Location Address1057 BROAD ST FL 3Bridgeport, CT 06604-4219
Mailing AddressPo Box 84Bridgeport, CT 06601-0084 · (203) 996-2661 · Fax (203) 336-6525
Fax(203) 336-6525
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 8, 2009
Last NPPES UpdateMarch 17, 2018
NPI 1497088520 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 CT · 7106
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.

1057 BROAD ST FL 3, Bridgeport, CT 06604

Secondary Practice Locations 2

Location 1260 Success Ave, Apt 11Bridgeport, CT 06610-2426 · Phone (203) 996-2661
Location 233 Bernhard RdNorth Haven, CT 06473-3900 · Phone (203) 996-2661 · Fax (203) 336-6525

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

Mr. Jason Elijah Spann 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 ID6103954128
PECOS Enrollment IDI20100513000001
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
243 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06604 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99
Promoting Interoperability75
Improvement Activities40
Cost10

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497088520, enumerated as an "individual" on September 08, 2009.

The provider is located at 1057 BROAD ST FL 3 BRIDGEPORT, CT 06604 and the phone number is (203) 996-2661.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.