Jennifer Marie Boerwinkle, LSW
Individual provider Active NPI Clinical Social Worker · Ashland, OH
NPI 1104510015 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1104510015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- S.2207670 (OH)
- Practice address
- 2233 Rocky LN
Ashland, OH 44805-4701 - Phone
- (419) 281-3716
- Fax
- (419) 281-4605
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2207670 | OH | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.2207670 | OH | Yes |
Addresses
Primary practice location
2233 Rocky LN
Ashland, OH 44805-4701
Mailing address
2233 Rocky LN
Ashland, OH 44805-4701
Phone (419) 281-3716
Other providers in Ashland, OH
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- Ashley R Blake
- Tanya Blough
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- Bernadette E Bogner
- Anita A. Bojtos
- Cherisse Elana Booth
- Cassi Borchart
- Bradley Dean Bostic
All providers in Ashland, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.