Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Steven M Jack, LCSW

Individual provider Clinical Social Worker · NPI 1760621577

Mr. Steven M Jack, LCSW is a Clinical Social Worker in New London, Connecticut. Qualified in 1997, 29 years ago. Practices with Cynthia L Sarris PA LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
29
Licensed in
CT
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

194 Howard St
New London, CT 06320-5544
Phone: (860) 975-8410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 009168 (CT)

Record details

NPI number1760621577
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 18, 2009
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Cynthia L Sarris Pa Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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