Individual provider Active NPI

Jean C Howry, LISW

  • Clinical Social Worker
  • Newark, OH
National Provider Identifier
1083805691
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0003550 Issued in OH
Practice address
195 Union St Ste B1
Newark, OH 43055-3998
Phone
(740) 349-7066
Fax
(740) 345-6028
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0003550 OH Primary

Addresses

Primary practice location

195 Union St Ste B1
Newark, OH 43055-3998

Mailing address

195 Union St Ste B1
Newark, OH 43055-3998
Phone (740) 349-7066

Other identifiers 2

IdentifierTypeStateIssuer
1376607374OtherOHORGANIZATION NPI#
10193MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0003550OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health, Inc Past Accepting new patients
Woodlands, Serving Central Ohio Inc. Clinical PastSince Jun 1, 2012 Accepting new patients

Organizations & group practices 2

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1083805691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 UNION ST STE B1",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553998",
            "telephone_number": "740-349-7066",
            "fax_number": "740-345-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 UNION ST STE B1",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553998",
            "telephone_number": "740-349-7066",
            "fax_number": "740-345-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWRY",
        "first_name": "JEAN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0003550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI#",
            "identifier": "1376607374",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10193",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.