Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528954120 Individual Practitioner Female Practitioner

Jacqueline Jean Pack

Social Worker • Mount Vernon, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacqueline Pack is a certified Social Worker practicing in Mount Vernon, OH. With approximately 14 years of clinical experience since completing medical education in 2012, Jacqueline Pack delivers high-quality medical care to the local community at 206 S MULBERRY ST STE A.

Jacqueline Pack is affiliated with Revive Behavioral Health, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

206 S Mulberry St Ste A

Mount Vernon, OH 430503331

Telephone 7403269988
Fax 7403261175
Associated Practice Facility / Clinic
🏢 Revive Behavioral Health, Llc Facility NPI 1003601220

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Mount Vernon, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs Matches City Avg
City Avg: 14.0 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
36 Specialists

Practicing in Mount Vernon, OH (11526 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pack (14 Years) 14 Yrs
Mount Vernon Specialty Average (14.0 Years) 14.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-18
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH S.1302386

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.

Hospital & Practice Group Affiliations

Revive Behavioral Health, Llc

206 S Mulberry St, Mount Vernon, OH 430503331

Phone: 7403261231

Practice Associates & Co-Workers

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

4 Associated Practitioners
Ryan Adams , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1164201307

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Britney Mcpeek , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1598466955

Advanced Practice Registered Nurse

Simona Moore , CNP

Nurse Practitioner - Family

NPI 1679502181

Certified Nurse Practitioner

Jordan Moore

Nurse Practitioner - Psychiatric/Mental Health

NPI 1821651571

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 18, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2025

Registered at 206 S MULBERRY ST STE A, MOUNT VERNON, OH 430503331 (Tel: 7403269988)

📍
Updated Business Mailing Address June 18, 2025

Registered at 206 S MULBERRY ST STE A, MOUNT VERNON, OH 430503331 (Tel: 7405011041)

👤
Provider Name / Credentials Updated June 18, 2025

Recorded as JACQUELINE PACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2025

Social Worker (License #S.1302386 in OH)

🟢
Initial NPI Registration & Enumeration June 18, 2025

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: 1528954120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2025
Last Update: June 18, 2025
Sole Proprietor: Yes

Mailing Address

206 S Mulberry St Ste A

Mount Vernon, OH 430503331

Phone: 7405011041

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.