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

JACOB LEVINE LICSW
NPI 1952136715
Social Worker - Clinical in Duluth, MN

Q: What is Jacob Levine's NPI number?

The NPI number for Jacob Levine is 1952136715. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Q: What is Jacob Levine's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Levine was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.

Active since September 03, 2024PECOS Enrolled

332 W SUPERIOR ST STE 300, DULUTH, MN 55802(218) 722-4379(218) 722-4333 Get Directions Write a Review

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

Record update history: Aug 13, 2026, Nov 13, 2025, Sep 3, 2024 (3 updates tracked since 2024).

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About Jacob Levine Licsw NPPES

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

JACOB LEVINE LICSW (NPI 1952136715) is an individual clinical provider in Duluth, Minnesota, licensed in Minnesota (33428) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952136715

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJACOB LEVINECredential: LICSW

Location Address332 W SUPERIOR ST STE 300Duluth, MN 55802-1844

Mailing Address1900 Silver Lake Rd NwNew Brighton, MN 55112-1786 · (218) 722-4379 · Fax (218) 722-4333

Phone(218) 722-4379

Fax(218) 722-4333

Sole ProprietorNo

Enumeration DateSeptember 3, 2024

Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1952136715 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 · 33428

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.

332 W SUPERIOR ST STE 300, Duluth, MN 55802

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Levine Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55802 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.

AMY JO SCHWAB MSN, APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)