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JACQUELINE LOB LCSW
NPI 1851772487
Social Worker - Clinical in St. Louis, MO

Active since June 09, 2015Opted out of Medicare · through Jul 1, 2028
10420 OLD OLIVE STREET ROAD, SUITE 205, ST. LOUIS, MO 63141(314) 504-4698(314) 692-9978 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Jacqueline Lob Lcsw NPPES

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

JACQUELINE LOB LCSW (NPI 1851772487) is an individual clinical provider in St. Louis, Missouri, licensed in Missouri (2014032120) and active in the NPI registry since June 2015. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851772487
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE LOBCredential: LCSW
Location Address10420 OLD OLIVE STREET ROAD, SUITE 205St. Louis, MO 63141-5937
Mailing Address10420 Old Olive Street Road, Suite 205St. Louis, MO 63141-5937 · (314) 504-4698 · Fax (314) 692-9978
Phone(314) 504-4698
Fax(314) 692-9978
Sole ProprietorNo
Enumeration DateJune 9, 2015
✔ NPI 1851772487 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 MO · 2014032120
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.
10420 OLD OLIVE STREET ROAD, St. Louis, MO 63141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacqueline Lob Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2018 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2018
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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 $55.65 – $169.38
Typical copayment $0.00 (range $13.91 – $42.34)
Most-billed visit code NA
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. VICTORIA JAYNE AITKEN LPC
Counselor (Professional)
10420 OLD OLIVE STREET ROAD, SUITE 209
SAINT LOUIS, MO 63141
St. Louis County (314) 567-9321
KATHRYN L CORLEY MSW, LCSW
Social Worker (Clinical)
10420 OLD OLIVE STREET ROAD, SUITE 202
ST. LOUIS, MO 63141
St. Louis County (314) 991-9700
MS. LOIS PAULA PERRYMAN MSW LCSW
Social Worker (Clinical)
10420 OLD OLIVE STREET ROAD, SUITE 209
SAINT LOUIS, MO 63141
St. Louis County (314) 360-2988

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 Jacqueline Lob's NPI number?

The NPI number for Jacqueline Lob is 1851772487. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Jacqueline Lob located?

Jacqueline Lob practices at 10420 Old Olive Street Road Suite 205, St. Louis, MO 63141. The listed phone number is (314) 504-4698.

What is Jacqueline Lob's specialty?

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

Is Jacqueline Lob enrolled in Medicare?

No. Jacqueline Lob has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jacqueline Lob accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Medica list Jacqueline Lob 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 Jacqueline Lob was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.