Mr Steven M Jack, LCSW in New London, CT - Medicare Clinical Social Worker Provider

Mr Steven M Jack, LCSW is a medicare enrolled "Social Worker - Clinical" provider in New London, Connecticut. He graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Northeast Medical Group Inc and his current practice location is 194 Howard St, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 975-8410.

Mr Steven M Jack is licensed to practice in Connecticut (license number 009168) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760621577.

Contact Information

	Mr Steven M Jack, LCSW
	194 Howard St, New London, CT 06320-5544
	(860) 975-8410
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Steven M Jack
Gender	Male
Speciality	Clinical Social Worker
Experience	28 Years
Location	194 Howard St, New London, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Steven M Jack graduated from medical school in 1997

NPI Data:

NPI Number: 1760621577
Provider Enumeration Date: 02/18/2009
Last Update Date: 09/15/2025

Medicare PECOS Information:

PECOS PAC ID: 9537325212
Enrollment ID: I20151218000941

Medical Identifiers

Medical identifiers for Mr Steven M Jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760621577	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	009168 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Medical Group Inc	1254233836	1287

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Steven M Jack allows following entities to bill medicare on his behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

Entity Name	Cynthia L Sarris Pa Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639505043 PECOS PAC ID: 9032015243 Enrollment ID: O20140227001066

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Steven M Jack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Steven M Jack, LCSW 194 Howard St, New London, CT 06320-5544 Ph: (860) 975-8410	Mr Steven M Jack, LCSW 194 Howard St, New London, CT 06320-5544 Ph: (860) 975-8410

Reviews and Comments

Social Worker in New London, CT

Ms. Katelyn Baez, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 164 Hempstead St, New London, CT 06320 Phone: 860-910-4881
Molly Winship, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-442-2797 Fax: 860-701-3776
Jodi Sammartino, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 21 Montauk Ave, New London, CT 06320 Phone: 860-439-6400 Fax: 860-390-1463
Cheryl Cote, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 21 Montauk Ave, New London, CT 06320 Phone: 860-271-4700
Erin C Janicek, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall Street, New London, CT 06320 Phone: 860-442-2797 Fax: 860-701-3776
Pamela Davies, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 255 Hempstead St, New London, CT 06320 Phone: 860-443-2896 Fax: 860-442-5909
Kathleen Grega, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 21 Montauk Ave, New London, CT 06320 Phone: 860-439-6400

Mr Steven M Jack, LCSW - Medicare Clinical Social Worker in New London, CT