Individual provider Active NPI

Jordan Nichole Dellinger, LISW-S

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1114583812
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203809 Issued in OH
Practice address
65 E Wilson Bridge Rd Ste 101
Worthington, OH 43085-2704
Phone
(614) 783-6010
NPI assigned
May 17, 2019
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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.2203809 OH Primary

Addresses

Primary practice location

65 E Wilson Bridge Rd Ste 101
Worthington, OH 43085-2704

Mailing address

65 E Wilson Bridge Rd Ste 101
Worthington, OH 43085-2704
Phone (614) 783-6010

Other identifiers 1

IdentifierTypeStateIssuer
2615030MedicaidOH

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
I20220927001094 OH Practitioner - Clinical Social Worker 2567848641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holistic Wellness Solutions LLCGroup PAC ID 6002243755, 10 clinicians

Practice addresses (Care Compare)

4770 Indianola Ave
Suite 107
Columbus, OH 43214-1862
Phone (614) 371-2303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2203809OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Wellness Solutions LLC Clinical CurrentSince Jan 14, 2026 Accepting new patients
Holistic Wellness Solutions LLC Clinical CurrentSince Jan 14, 2026 Accepting new patients

Locations

4770 Indianola Ave
Ste 107
Columbus, OH 43214
Phone (614) 371-2303

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1114583812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E WILSON BRIDGE RD STE 101",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852704",
            "telephone_number": "614-783-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E WILSON BRIDGE RD STE 101",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852704",
            "telephone_number": "614-783-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLINGER",
        "first_name": "JORDAN",
        "middle_name": "NICHOLE",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2615030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.