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JACQUELINE MICHELE ROUSSEAUX-PERSHING LCSW
NPI 1689187551
Social Worker - Clinical in Wilkes Barre, PA

Active since November 14, 2017PECOS Enrolled
16 S RIVER ST, WILKES BARRE, PA 18702(831) 392-5757 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2026, Sep 4, 2025, Nov 15, 2017 (3 updates tracked since 2017).

About Jacqueline Michele Rousseaux-pershing Lcsw NPPES

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

JACQUELINE MICHELE ROUSSEAUX-PERSHING LCSW (NPI 1689187551) is an individual clinical provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (CW025207) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689187551
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE MICHELE ROUSSEAUX-PERSHINGCredential: LCSW
Location Address16 S RIVER STWilkes Barre, PA 18702-2406
Mailing Address16 S River StWilkes Barre, PA 18702-2406 · (831) 392-5757
Phone(831) 392-5757
Sole ProprietorYes
Enumeration DateNovember 14, 2017
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1689187551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in PA · CW025207✔ Licensed in CA · 119601
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.
16 S RIVER ST, Wilkes Barre, PA 18702
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Michele Rousseaux-pershing 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacqueline Rousseaux-pershing reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PA
1,094 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 833 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Grow Healthcare Group PC
2,452 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 18702 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

TRISTEN NICOLE KALT
Speech-Language Pathologist
16 S RIVER ST
WILKES BARRE, PA 18702
Luzerne County (732) 841-5998

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 Jacqueline Rousseaux-pershing's NPI number?

The NPI number for Jacqueline Rousseaux-pershing is 1689187551. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Where is Jacqueline Rousseaux-pershing located?

Jacqueline Rousseaux-pershing practices at 16 S River St, Wilkes Barre, PA 18702. The listed phone number is (831) 392-5757.

What is Jacqueline Rousseaux-pershing's specialty?

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

Is Jacqueline Rousseaux-pershing enrolled in Medicare?

Yes. Jacqueline Rousseaux-pershing is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacqueline Rousseaux-pershing's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Rousseaux-pershing reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Grow Healthcare Group PC (San Jose, CA). Each 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 Jacqueline Rousseaux-pershing's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Rousseaux-pershing was last updated on April 15, 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.