MRS. JUDITH JACQUES (MSW, LCSW) – Clinical Social Worker, NPI 1407894017
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,376 CLINICAL SOCIAL WORKER in FL
Provider Addresses for MRS. JUDITH JACQUES (MSW, LCSW)
22904 LYDEN DR STE 104
ESTERO, FL 339287047
Phone: (239) 494-3951
Fax: (239) 217-9561
Type: Location
22, North Court Street, Westminster Historic District, Washington Heights, Westminster, Carroll County, Maryland, 21157, United States
#1131
WESTMINSTER, MD 211575110
Phone: (843) 304-6400
Fax: (843) 606-2500
Type: Mailing
409, Coleman Boulevard, Old Village Historic District, Brook Green Meadow, Mount Pleasant, Charleston County, South Carolina, 29464, United States
SUITE 2B
MT. PLEASANT, SC 29464
Phone: (843) 304-6400
Fax: (843) 606-2500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-06-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220623002678 | I | Clinical Social Worker | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 12 | 12 | $0 |
Insurance plans in this area (ZIP 33928)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | FL | |
| Clinical Psychologist | CO | |
| Clinical Psychologist | FL | |
| Clinical Social Worker | FL | |
| Clinical Social Worker | NY | |
| Clinical Psychologist | FL | |
| Clinical Psychologist | FL | |
| Clinical Psychologist | FL |
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