Judith Jacques, MSW, LCSW
NPI 1407894017ActiveIndividual· Social Worker, Clinical· Estero, FL
Social Worker, Clinical (MSW, LCSW) with Fort Myers Psychology PA, practicing in Estero, Florida. Medicare paid $22,792 for services to 30 patients in 2024.
Overview
| NPI | 1407894017 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LCSW |
| Sole proprietor | Yes |
| NPI issued | Jun 4, 2006 |
| Last updated in NPPES | Jan 8, 2024 |
| Certified by provider | Jan 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW16112 | FL |
| Social Worker | 104100000X | 9952 | SC |
| Social Worker, Clinical | 1041C0700X | 113570 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 251 across 3 procedure codes |
| Paid by Medicare | $22,792 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Fort Myers Psychology PAFort Myers, FL · 10 clinicians
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All 17 clinical social workers in Estero · All clinical social workers in Florida