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MS. KRISTIANNA E JACQUES LCSW
NPI 1790297794
Social Worker - Clinical in Chicago, IL

Active since October 30, 2017PECOS EnrolledAccepts Medicare Assignment
6614 N ASHLAND AVE, CHICAGO, IL 60626(207) 776-1703(207) 776-1703 Get Directions Write a Review

NPPES record last updated: October 30, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Kristianna E Jacques Lcsw NPPES

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

MS. KRISTIANNA E JACQUES LCSW (NPI 1790297794) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149018007) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1790297794
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KRISTIANNA E JACQUESCredential: LCSW
Location Address6614 N ASHLAND AVEChicago, IL 60626-6400
Mailing Address6614 N Ashland AveChicago, IL 60626-6400 · (207) 776-1703 · Fax (207) 776-1703
Phone(207) 776-1703
Fax(207) 776-1703
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 30, 2017
✔ NPI 1790297794 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 IL · 149018007
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.
6614 N ASHLAND AVE, Chicago, IL 60626
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Ms. Kristianna E Jacques 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 ID7214319854
PECOS Enrollment IDI20220729000680
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 60626 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 Kristianna Jacques's NPI number?

The NPI number for Kristianna Jacques is 1790297794. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Where is Kristianna Jacques located?

Kristianna Jacques practices at 6614 N Ashland Ave, Chicago, IL 60626. The listed phone number is (207) 776-1703.

What is Kristianna Jacques's specialty?

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

Is Kristianna Jacques enrolled in Medicare?

Yes. Kristianna Jacques 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.

When was this NPI record last updated?

The NPPES record for Kristianna Jacques was last updated on October 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.