Ms Ellen Marie Jacob, LCSW, CDP - Medicare Clinical Social Worker in Venice, FL

Ms Ellen Marie Jacob, LCSW, CDP is a medicare enrolled "Social Worker - Clinical" provider in Venice, Florida. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 302 Falls Of Venice Cir, Venice, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 607-0160.

Ms Ellen Marie Jacob is licensed to practice in Florida (license number 24099) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1285415059.

Contact Information

Ms Ellen Marie Jacob, LCSW, CDP
302 Falls Of Venice Cir,
Venice, FL 34292-3979
(904) 607-0160
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Ellen Marie Jacob
GenderFemale
SpecialityClinical Social Worker
Experience4 Years
Location302 Falls Of Venice Cir, Venice, Florida
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Ellen Marie Jacob graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1285415059
  • Provider Enumeration Date: 10/09/2023
  • Last Update Date: 05/28/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5799255469
  • Enrollment ID: I20260530000472

Medical Identifiers

Medical identifiers for Ms Ellen Marie Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285415059NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 24099 (Florida)Primary
1041C0700XSocial Worker - Clinical 1881606 (Idaho)Secondary
1041C0700XSocial Worker - Clinical 089.013646161TELE (Vermont)Secondary

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. Ms Ellen Marie Jacob 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 AddressPractice Location Address
Ms Ellen Marie Jacob, LCSW, CDP
11541 Shady Acres Path,
Venice, FL 34293-8140

Ph: (904) 607-0160
Ms Ellen Marie Jacob, LCSW, CDP
302 Falls Of Venice Cir,
Venice, FL 34292-3979

Ph: (904) 607-0160

Reviews and Comments


Social Worker in Venice, FL

Mrs. Diane K Clukey Chenard, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 230 Tamiami Trl S Ste 3, Venice, FL 34285
Phone: 941-473-3838    
Mrs. Christine Marie Digangi-korbel, LCSW
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 12161 Mercado Dr Ste 258, Venice, FL 34293
Phone: 847-920-7070    
Nancy J Stetter-coblentz, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1790 E Venice Ave Ste 204, Venice, FL 34292
Phone: 941-488-8884    Fax: 941-488-5554
Mrs. Elizabeth M Adams, SOCIAL WORKER, CLINI
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 492 Buttonbush Lane, Venice, FL 34293
Phone: 941-441-5137    Fax: 305-453-5144
Richard Banton, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 20398 Lagente Cir, Venice, FL 34293
Phone: 304-322-5509    
Mrs. Nicole Kay Cummings, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4195 Tamiami Trl S Pmb #126, Venice, FL 34293
Phone: 941-497-2244    Fax: 941-497-2244
Barbara J. Kirk, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 333 Tamiami Trl S Ste 288, Venice, FL 34285
Phone: 941-525-2427    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.