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

Mrs. Judith Jacques, MSW, LCSW

Individual provider Social Worker · NPI 1407894017

Mrs. Judith Jacques, MSW, LCSW is a Clinical Social Worker in Estero, Florida. Qualified in 1998, 28 years ago. Practices with Fort Myers Psychology PA, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, Massachusetts and South Carolina.

Years since qualifying
28
Licensed in
FL, MA, SC
In the registry since
2006
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

22904 Lyden Dr Ste 104
Estero, FL 33928-7047
Phone: (239) 494-3951
Fax: (239) 217-9561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW16112 (FL)
Social Worker Taxonomy 104100000X · Licence 9952 (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 113570 (MA)

Record details

NPI number1407894017
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedJune 4, 2006
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Fort Myers Psychology Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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