Individual provider Active NPI

Jessica Jambor, LISW-S, MSN-RN

  • Social Worker
  • Toledo, OH
National Provider Identifier
1083197123
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
3454 Oak Alley CT Ste 214
Toledo, OH 43606-1370
Phone
(419) 740-1836
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.545984 OH
Social Worker 104100000X Primary

Addresses

Primary practice location

3454 Oak Alley CT Ste 214
Toledo, OH 43606-1370

Mailing address

3454 Oak Alley CT Ste 214
Toledo, OH 43606-1370
Phone (419) 740-1836

Other identifiers 1

IdentifierTypeStateIssuer
0419536MedicaidOH

Other names 1

  • Jessica Zavela Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207002593 OH Practitioner - Clinical Social Worker 1052841806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3454 Oak Alley CT
Suite 214
Toledo, OH 43606-1370
Phone (419) 740-1836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.545984OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Benevolent Therapy Services LLC CurrentSince Mar 13, 2026 Accepting new patients
Benevolent Therapy LLC Registered Nurse CurrentSince Dec 15, 2024 Accepting new patients
Racing for Recovery PastSince Dec 1, 2021 Accepting new patients
Racing for Recovery PastSince Dec 1, 2021 Accepting new patients

Locations

3775 Truman Rd
Perrysburg, OH 43551

3454 Oak Alley Ct
Ste 214
Toledo, OH 43606
Phone (419) 536-9670

5151 Monroe St
Ste 250E
Toledo, OH 43623
Phone (419) 482-8585

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1083197123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 214",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061370",
            "telephone_number": "419-740-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 214",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061370",
            "telephone_number": "419-740-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMBOR",
        "first_name": "JESSICA",
        "credential": "LISW-S, MSN-RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.545984",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419536",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ZAVELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.