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MRS. SARAH MARIE JAECK LCSW, SAC
NPI 1619480571
Social Worker - Clinical in Racine, WI

Active since November 14, 2017PECOS Enrolled
2224 NORTHWESTERN AVE STE 112, RACINE, WI 53404(262) 822-9939 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Jan 31, 2026, Mar 13, 2020 and 1 more (4 updates tracked since 2017).

About Mrs. Sarah Marie Jaeck Lcsw, Sac NPPES

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

MRS. SARAH MARIE JAECK LCSW, SAC (NPI 1619480571) is an individual clinical provider in Racine, Wisconsin, licensed in Wisconsin (9306) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619480571
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SARAH MARIE JAECKCredential: LCSW, SAC
Location Address2224 NORTHWESTERN AVE STE 112Racine, WI 53404-0007
Mailing Address2224 Northwestern Ave Ste 112Racine, WI 53404-0007 · (262) 822-9939
Phone(262) 822-9939
Sole ProprietorNo
Enumeration DateNovember 14, 2017
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1619480571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 9306
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17770 (WI)
Also ListedSocial WorkerTaxonomy 104100000X · License 130579 (WI)
2224 NORTHWESTERN AVE STE 112, Racine, WI 53404
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Other Names 1

Former Name (1)Ms. Sarah Marie Gregory

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sarah Marie Jaeck Lcsw, Sac 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.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Jaeck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellqor Psychological Services, PC
756 mi
Clinical
135 PINELAWN RD STE 204N
Melville, NY 11747
  • Reassigned Medicare billing, Wisconsin enrollment
  • 9 clinicians in this Medicare group
NPI 1063920841 (844) 888-0355

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53404 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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

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

LIGHT AS A FEATHER THERAPY
Social Worker (Clinical)
2224 NORTHWESTERN AVE STE 112
RACINE, WI 53404
Racine County (262) 822-9939

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 Sarah Jaeck's NPI number?

The NPI number for Sarah Jaeck is 1619480571. It was assigned to this individual provider in the NPPES registry on November 14, 2017. The provider is also known as Ms. Sarah Marie Gregory.

Where is Sarah Jaeck located?

Sarah Jaeck practices at 2224 Northwestern Ave Ste 112, Racine, WI 53404. The listed phone number is (262) 822-9939.

What is Sarah Jaeck's specialty?

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

Is Sarah Jaeck enrolled in Medicare?

Yes. Sarah Jaeck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sarah Jaeck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Jaeck reassigns Medicare benefits to Wellqor Psychological Services, PC (Melville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Jaeck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Jaeck accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Sarah Jaeck 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 Sarah Jaeck was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.