Doctor profile · Federal record

Dr. STEVEN JACK, LCSW

Clinical Social Worker · NEW LONDON, CT

  • NPI 1760621577
  • Accepts Medicare
  • MIPS 84.3 / 100 · 2023
  • 29 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
194 HOWARD ST
NEW LONDON, CT 063205544
(860) 975-8410

Credentials & registration

NPPES · NUCC
NPI registered
February 2009 — 17 yrs on file
Profile last updated
September 15, 2025
Year of graduation
1997 — 29 yrs since
Specialty taxonomy
1041C0700X — NUCC code
State license (1)
Connecticut #009168

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1760621577. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
178
Distinct HCPCS
1
Medicare allowed
$13,755
HCPCS Description Services Patients Avg allowed
90834 Psychotherapy, 45 minutes 178 13 $77

In context: peer comparison

Among 7 peers in this city , average services per provider: 77. This provider delivers 2.3× the peer median.