Steven Michael Jacques, LCSW-C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

27548 Issued in MD

Practice address

9093 Ridgefield Dr Ste 206
Frederick, MD 21701-6712

Phone

(240) 382-0169

NPI assigned

Apr 1, 2024

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clear Waters Counseling

  • Clinical Social Worker
  • Frederick, MD
  • NPI 1356196729
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1629829221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11217 MAPLEVILLE RD APT B",
            "city": "SMITHSBURG",
            "state": "MD",
            "postal_code": "217831801",
            "telephone_number": "240-382-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR STE 206",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016712",
            "telephone_number": "240-382-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "27548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Kirk Jackson, M.D.
• Deasia Dominique Jacob, MD
• Ariel Jacobs, LCPC
• Brianna Jacobs
• Abby C Jacobsen, LMSW
• Ruchika Jadav
• Sneha Jadhav, M.D.
• Anika Maria Jagemann I
• Jalal Saied MD, LLC (X'cel Primary Care)
• Jalal Saied, M.D. LLC (X'Cel Primary Care)

• Social Worker in Frederick, MD
• Providers in Frederick, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.