Doctor profile · Federal record

Dr. Annette Jacob, LICSW

Clinical Social Worker · Saint Paul, MN

  • NPI 1174629869
  • Accepts Medicare
  • 42 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2550 University Ave W, Suite 435S
Saint Paul, MN 551141052
(651) 647-1900
Mailing address
2338 Doswell Ave
Saint Paul, MN 551081631

Credentials & registration

NPPES · NUCC
NPI registered
September 2006 — 20 yrs on file
Profile last updated
July 8, 2007
Year of graduation
1984 — 42 yrs since
Specialty taxonomy
1041C0700X — NUCC code
State license (1)
Minnesota #11266

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1174629869. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
122
Distinct HCPCS
1
Medicare allowed
$7,839
HCPCS Description Services Patients Avg allowed
90834 Psychotherapy, 45 minutes 122 14 $64

In context: peer comparison

Among 9 peers in this city , average services per provider: 68. This provider delivers 1.8× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Annette Jacob's medical specialty?
Dr. Annette Jacob practices Clinical Social Worker in Saint Paul, MN.
Where does Dr. Annette Jacob practice?
Dr. Annette Jacob practices at 2550 University Ave W, Saint Paul, MN 551141052. Office phone: 6516471900.
What is Dr. Annette Jacob's NPI?
Dr. Annette Jacob's National Provider Identifier (NPI) is 1174629869, issued by NPPES.
Does Dr. Annette Jacob accept Medicare assignment?
Yes. Dr. Annette Jacob accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Annette Jacob commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90834). Source: CMS Medicare Physician & Other Practitioners file.