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Active NPI 1407894017 Individual Practitioner Female Practitioner

Judith Jacques , MSW, LCSW

Social Worker - Clinical • Estero, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Judith Jacques, MSW, LCSW is a certified Social Worker - Clinical practicing in Estero, FL. With approximately 28 years of clinical experience since completing medical education in 1998, Judith Jacques delivers high-quality medical care to the local community at 22904 LYDEN DR STE 104.

Judith Jacques is affiliated with Fort Myers Psychology Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

22904 Lyden Dr Ste 104

Estero, FL 339287047

Telephone 2394943951
Fax 2392179561
Associated Practice Facility / Clinic
🏢 Ellie Mental Health Of Estero Facility NPI 1851029243

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Estero, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +9.5 yrs vs City Avg
City Avg: 18.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Estero, FL (13861 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
39.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacques (28 Years) 28 Yrs
Estero Specialty Average (18.5 Years) 18.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
227 24 $175.00 $113.59
90791 Psychiatric diagnostic evaluation
23 23 $226.09 $128.66

Medical Specialties & State Licenses

CMS Verified: 2024-01-08
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License FL SW16112

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.

Social Worker

NUCC Taxonomy Code: 104100000X

State License SC 9952

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License MA 113570

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.

Hospital & Practice Group Affiliations

Fort Myers Psychology Pa

12791 World Plaza Ln, Fort Myers, FL 339073989

Phone: 2398295494

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Bradley Vattilana , MS, LMHC

Counselor - Mental Health

NPI 1184276511

Master of Science, Licensed Mental Health Counselor

Reid Kirchhoff , MSED, LMHC

Counselor - Mental Health

NPI 1184289811

Master of Science in Education, Licensed Mental Health Counselor

Alexis Sylvia , MA, LMHC

Counselor - Mental Health

NPI 1316795289

Master of Arts, Licensed Mental Health Counselor

Bianca Fontanez , MA LMHC

Counselor - Mental Health

NPI 1457195489

MALMHC

Sandra Suzuki , LCPC

Counselor - Mental Health

NPI 1750588778

Licensed Clinical Professional Counselor

Kaia Bravo , RCSWI

Social Worker

NPI 1811798564

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 08, 2024

Registered at 22904 LYDEN DR STE 104, ESTERO, FL 339287047 (Tel: 2394943951)

👤
Provider Name / Credentials Updated January 08, 2024

Recorded as JUDITH JACQUES, MSW, LCSW

📍
Updated Practice Location May 08, 2023

Registered at 22904 LYDEN DR STE 4, ESTERO, FL 339287047 (Tel: 2394943951)

👤
Provider Name / Credentials Updated May 08, 2023

Recorded as JUDITH JACQUES, LCSW

NPI Profile Active October 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2016

Registered at 409 COLEMAN BLVD., SUITE 2B, MT. PLEASANT, SC 29464 (Tel: 8433046400)

📍
Updated Business Mailing Address October 10, 2016

Registered at 22 N COURT ST, #1131, WESTMINSTER, MD 211575110 (Tel: 8433046400)

👤
Provider Name / Credentials Updated October 10, 2016

Recorded as JUDITH JACQUES, LISW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2016

Social Worker (License #9952 in SC)

🟢
Initial NPI Registration & Enumeration June 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407894017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2006
Last Update: January 08, 2024
Sole Proprietor: Yes

Mailing Address

22 N Court St, #1131

Westminster, MD 211575110

Phone: 8433046400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.