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: August 30, 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 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.

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 8 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.