Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVID G JACOB L.C.S.W
NPI 1881655751
Social Worker - Clinical in Stratford, CT

Active since March 30, 2006PECOS Enrolled
1129 ESSEX PL, STRATFORD, CT 06615(203) 377-3600 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David G Jacob L.c.s.w NPPES

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

DAVID G JACOB L.C.S.W (NPI 1881655751) is an individual clinical provider in Stratford, Connecticut, licensed in Connecticut (002392) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1881655751
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDAVID G JACOBCredential: L.C.S.W
Location Address1129 ESSEX PLStratford, CT 06615-5850
Mailing Address1129 Essex PlStratford, CT 06615-5850 · (203) 377-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMarch 30, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1881655751 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 CT · 002392
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.
1129 ESSEX PL, Stratford, CT 06615

Other Identifiers 1

Other140002392CT01CT · Anthem

Accepted Insurance

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

David G Jacob L.c.s.w 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 ID7810908167
PECOS Enrollment IDI20060526000023
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 06615 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 4

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

Registered Nurse (Psychiatric/Mental Health)
1129 ESSEX PL
STRATFORD, CT 06615
Community/Behavioral Health
1129 ESSEX PL
STRATFORD, CT 06615
Nurse Practitioner (Psychiatric/Mental Health)
1129 ESSEX PL
STRATFORD, CT 06615
Social Worker (Clinical)
1129 ESSEX PL
STRATFORD, CT 06615

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 David Jacob's NPI number?

The NPI number for David Jacob is 1881655751. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is David Jacob located?

David Jacob practices at 1129 Essex Pl, Stratford, CT 06615. The listed phone number is (203) 377-3600.

What is David Jacob's specialty?

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

Is David Jacob enrolled in Medicare?

Yes. David Jacob 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.

What insurance does David Jacob accept?

Health plans from Providence Health Plan list David Jacob 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 David Jacob was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.