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MR. JOHN DOUGLAS JACO LICSW
NPI 1518796945
Social Worker - Clinical in Poulsbo, WA

Active since August 01, 2024PECOS EnrolledAccepts Medicare Assignment
19895 4TH AVE NE, UNIT A, POULSBO, WA 98370(425) 658-0727 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. John Douglas Jaco Licsw NPPES

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

MR. JOHN DOUGLAS JACO LICSW (NPI 1518796945) is an individual clinical provider in Poulsbo, Washington, licensed in Washington (LW61523528) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1518796945
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JOHN DOUGLAS JACOCredential: LICSW
Location Address19895 4TH AVE NE, UNIT APoulsbo, WA 98370-7481
Mailing Address522 West Riverside Ave, Suite 4309Spokane, WA 99201-0580 · (888) 420-0589
Phone(425) 658-0727
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 1, 2024
✔ NPI 1518796945 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 WA · LW61523528
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.
19895 4TH AVE NE, Poulsbo, WA 98370
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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. John Douglas Jaco Licsw 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 ID6406376011
PECOS Enrollment IDI20250226002787
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 98370 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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 John Jaco's NPI number?

The NPI number for John Jaco is 1518796945. It was assigned to this individual provider in the NPPES registry on August 1, 2024.

Where is John Jaco located?

John Jaco practices at 19895 4th Ave NE Unit A, Poulsbo, WA 98370. The listed phone number is (425) 658-0727.

What is John Jaco's specialty?

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

Is John Jaco enrolled in Medicare?

Yes. John Jaco 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 John Jaco accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list John Jaco 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 John Jaco was last updated on August 1, 2024. 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.