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MELISSA W. JACOB L.C.S.W
NPI 1992767347
Social Worker - Clinical in Stratford, CT

Active since April 03, 2006PECOS Enrolled
1129 ESSEX PL, STRATFORD, CT 06615(203) 375-8140(203) 375-8050 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2026, Dec 19, 2025 (2 updates tracked since 2025).

About Melissa W. Jacob L.c.s.w NPPES

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

MELISSA W. JACOB L.C.S.W (NPI 1992767347) is an individual clinical provider in Stratford, Connecticut, licensed in Connecticut (005167) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992767347
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA W. JACOBCredential: L.C.S.W
Location Address1129 ESSEX PLStratford, CT 06615-5850
Mailing Address1129 Essex PlStratford, CT 06615-5867 · (203) 257-8140 · Fax (203) 375-8050
Phone(203) 375-8140
Fax(203) 375-8050
Sole ProprietorYes
Enumeration DateApril 3, 2006
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1992767347 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 · 005167
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
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Other Names 1

Former Name (1)Melissa Wilson Jacob L.c.s.w

Other Identifiers 3

Other279269CT · Mhn
Other140005167CT02CT · Anthem
Medicaid004247096CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa W. Jacob L.c.s.w 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 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.

KATHLEEN CARIUS, APRN
Registered Nurse (Psychiatric/Mental Health)
1129 ESSEX PL
STRATFORD, CT 06615
Greater Bridgeport Planning Region (203) 375-8050
GRACE M THOMAS LPC LLC
Community/Behavioral Health
1129 ESSEX PL
STRATFORD, CT 06615
Greater Bridgeport Planning Region (203) 216-1716
KATHLEEN P. CARIUS APRN, LLC
Nurse Practitioner (Psychiatric/Mental Health)
1129 ESSEX PL
STRATFORD, CT 06615
Greater Bridgeport Planning Region (203) 375-8050
DAVID G JACOB L.C.S.W
Social Worker (Clinical)
1129 ESSEX PL
STRATFORD, CT 06615
Greater Bridgeport Planning Region (203) 377-3600

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 Melissa Jacob's NPI number?

The NPI number for Melissa Jacob is 1992767347. It was assigned to this individual provider in the NPPES registry on April 3, 2006. The provider is also known as Melissa Wilson Jacob L.C.S.W.

Where is Melissa Jacob located?

Melissa Jacob practices at 1129 Essex Pl, Stratford, CT 06615. The listed phone number is (203) 375-8140.

What is Melissa Jacob's specialty?

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

Is Melissa Jacob enrolled in Medicare?

Yes. Melissa Jacob is registered in the Medicare PECOS enrollment system.

What insurance does Melissa Jacob accept?

Health plans from Providence Health Plan list Melissa 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 Melissa Jacob was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.