Mr Steven M Jack, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Killingworth, Connecticut. His current practice location is
166 Route 81, Killingworth, 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.
Healthcare Provider's Profile
Full Name | Mr Steven M Jack |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 166 Route 81, Killingworth, Connecticut |
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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 attended and graduated from in
NPI Data:
- NPI Number: 1760621577
- Provider Enumeration Date: 02/18/2009
- Last Update Date: 03/12/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
101YM0800X | Counselor - Mental Health | C004015 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | 009168 (Connecticut) | Primary |
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 32 Parker Hill Rd, Killingworth, CT 06419-2306 Ph: (860) 975-8410 | Mr Steven M Jack, LCSW 166 Route 81, Killingworth, CT 06419-1481 Ph: (860) 975-8410 |
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