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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: October 18, 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
Phone(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
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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Patrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cotler Healthcare & Development Inc.
198 mi
Mental Health (Including Community Mental Health Center)
11120 S CROWN WAY STE 1
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 194 clinicians in this Medicare group
NPI 1225075047 (561) 790-1191

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 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Patrick's NPI number?

The NPI number for Jessica Patrick is 1801442454. It was assigned to this individual provider in the NPPES registry on August 9, 2019.

Where is Jessica Patrick located?

Jessica Patrick practices at 2805 SE 163rd Street Road, Summerfield, FL 34491. The listed phone number is (386) 365-0523.

What is Jessica Patrick's specialty?

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

Is Jessica Patrick enrolled in Medicare?

Yes. Jessica Patrick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Patrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Patrick reassigns Medicare benefits to Cotler Healthcare & Development Inc. (Wellington, FL). The 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 Jessica Patrick'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 Jessica Patrick was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.