MR. STEVEN M JACK LCSW
NPI 1760621577
Social Worker - Clinical in New London, CT
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Steven Jack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Killingworth, CT 06419
- Reassigned Medicare billing, Connecticut enrollment
- 3 clinicians in this Medicare group
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Steven Jack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Steven Jack reassigns Medicare benefits to 2 organizations: Cynthia L Sarris, PA, LLC (Killingworth, CT) and Mill Hill Medical Consultants Inc (New Haven, CT). 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 Steven Jack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Steven Jack accept?
Health plans from Anthem Blue Cross and Blue Shield 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 13 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.
# Mr. Steven M Jack, LCSW · NPI 1760621577
Clinical provider in New London, Connecticut. Individual provider, active in the CMS NPPES registry since February 18, 2009.
## Identity
- **NPI:** 1760621577 (Entity type: Individual)
- **Enumerated:** February 18, 2009
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 009168 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 194 HOWARD ST, New London, CT 06320-5544
- **Phone:** (860) 975-8410
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cynthia L Sarris, PA, LLC (NPI 1639505043, Killingworth, CT); Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** September 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760621577) · Data from the CMS NPPES public registry.