LEAH GAIL JACOB LICSW
NPI 1891225439
Social Worker - Clinical in Eagan, MN

Q: What is Leah Jacob's NPI number?

The NPI number for Leah Jacob is 1891225439. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Q: What is Leah Jacob's specialty?

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

Q: Is Leah Jacob enrolled in Medicare?

No. Leah Jacob has opted out of Medicare through March 30, 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.

Q: When was this NPI record last updated?

The NPPES record for Leah Jacob was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 15, 2017Opted out of Medicare · through Mar 30, 2028

3450 OLEARY LN, EAGAN, MN 55123(651) 365-8279 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 15, 2017 (2 updates tracked since 2017).

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About Leah Gail Jacob Licsw NPPES

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

LEAH GAIL JACOB LICSW (NPI 1891225439) is an individual clinical provider in Eagan, Minnesota, licensed in Minnesota (24285) and active in the NPI registry since June 2017. She has opted out of Medicare through March 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891225439

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLEAH GAIL JACOBCredential: LICSW

Location Address3450 OLEARY LNEagan, MN 55123-2340

Mailing Address3450 Oleary LnEagan, MN 55123-2340 · (651) 365-8279

Phone(651) 365-8279

Sole ProprietorNo

Enumeration DateJune 15, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1891225439 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 MN · 24285

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.

3450 OLEARY LN, Eagan, MN 55123

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Leah Gail Jacob Licsw 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 March 30, 2020 through March 30, 2028.

Opt-Out Effective DateMarch 30, 2020

Opt-Out In Effect ThroughMarch 30, 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 55123 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 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 20

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

MATTHEW STEVEN CARLSON LPC

Counselor (Professional)