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MR. STEVEN M JACK LCSW
NPI 1760621577
Social Worker - Clinical in New London, CT

Active since February 18, 2009PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
194 HOWARD ST, NEW LONDON, CT 06320(860) 975-8410 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mr. Steven M Jack Lcsw NPPES

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

MR. STEVEN M JACK LCSW (NPI 1760621577) is an individual clinical provider in New London, Connecticut, licensed in Connecticut (009168) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1760621577
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. STEVEN M JACKCredential: LCSW
Location Address194 HOWARD STNew London, CT 06320-5544
Mailing Address194 Howard StNew London, CT 06320-5544 · (860) 975-8410
Phone(860) 975-8410
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 18, 2009
Last NPPES UpdateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1760621577 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 · 009168
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.
194 HOWARD ST, New London, CT 06320
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Steven M Jack 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 ID9537325212
PECOS Enrollment IDI20151218000941
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
166 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. ROSHANAK BAGHERI MD
Internal Medicine
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-0282
LUCINDA CAVANAUGH APRN
Nurse Practitioner (Family)
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 771-4960
WILTON CRAIG CALDERON D.O.
Family Medicine
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-3366
DANIA ALEXA WILSON NP
Nurse Practitioner (Adult Health)
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737
DAVID ALLEN KERNS JR. PA-C
Physician Assistant
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-7907
JASON LEE THARPE PAC
Physician Assistant (Surgical)
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0564
DR. DAVID FRANK REISFELD M.D.
Surgery
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-3366
ELIZABETH LYNN DMOWSKI APRN
Nurse Practitioner (Family)
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-3366

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 Steven Jack's NPI number?

The NPI number for Steven Jack is 1760621577. It was assigned to this individual provider in the NPPES registry on February 18, 2009.

Where is Steven Jack located?

Steven Jack practices at 194 Howard St, New London, CT 06320. The listed phone number is (860) 975-8410.

What is Steven Jack's specialty?

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

Is Steven Jack enrolled in Medicare?

Yes. Steven Jack 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 Steven Jack accept?

Health plans from Providence Health Plan list Steven Jack 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 Steven Jack was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.