Individual provider Active NPI

Josette Landis, MSW, LSW

  • Social Worker
  • Youngstown, OH
National Provider Identifier
1093221673
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S0029456 Issued in OH
Practice address
100 Broadway Ave
Youngstown, OH 44505-2789
Phone
(330) 744-9020
Fax
(330) 743-9416
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S0029456 OH Primary

Addresses

Primary practice location

100 Broadway Ave
Youngstown, OH 44505-2789

Mailing address

100 Broadway Ave
Youngstown, OH 44505-2789
Phone (330) 744-9020

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
I20181214001278 OH Practitioner - Clinical Social Worker 3072858307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

278 Broadway Ave
Youngstown, OH 44504-1752
Phone (330) 743-9275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S0029456OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Family and Community Services CurrentSince May 25, 2023 Accepting new patients
Compass Family and Community Services CurrentSince May 25, 2023 Accepting new patients

Locations

1960 E County Line Rd
Ste 5
Mineral Ridge, OH 44440

278 Broadway Ave
Youngstown, OH 44504
Phone (330) 743-9275

284 Broadway Ave
Youngstown, OH 44504
Phone (330) 743-5309

535 Marmion Ave
Youngstown, OH 44502
Phone (330) 782-5664

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1093221673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052789",
            "telephone_number": "330-744-9020",
            "fax_number": "330-743-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052789",
            "telephone_number": "330-744-9020",
            "fax_number": "330-743-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "JOSETTE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0029456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.