JESSICA MARIE PATRICK LCSW
NPI 1801442454
Social Worker - Clinical in Summerfield, FL

Active since August 09, 2019PECOS Enrolled
2805 SE 163RD STREET ROAD, SUMMERFIELD, FL 34491(386) 365-0523 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2025, Aug 9, 2019 (2 updates tracked since 2019).

About Jessica Marie Patrick Lcsw NPPES

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

JESSICA MARIE PATRICK LCSW (NPI 1801442454) is an individual clinical provider in Summerfield, Florida, licensed in Florida (SW23244) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801442454
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA MARIE PATRICKCredential: LCSW
Location Address2805 SE 163RD STREET ROADSummerfield, FL 34491
Mailing Address2805 Se 163rd Street RoadSummerfield, FL 34491 · (386) 365-0523
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 9, 2019
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
NPI 1801442454 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 FL · SW23244
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.

2805 SE 163RD STREET ROAD, Summerfield, FL 34491

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 (PECOS)

Jessica Marie Patrick Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002387446
PECOS Enrollment IDI20260605002176
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 34491 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

The NPI number assigned to this healthcare provider is 1801442454, enumerated as an "individual" on August 09, 2019.

The provider is located at 2805 SE 163RD STREET ROAD SUMMERFIELD, FL 34491 and the phone number is (386) 365-0523.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.