Jacqueline Storey, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.22007580 Issued in OH

Practice address

680 High St Ste a
Wadsworth, OH 44281-1690

Phone

(208) 313-4093

NPI assigned

Jun 9, 2022

Last updated

Jun 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wellability LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wadsworth, OH
  • NPI 1417795063
  NPD
• Wolf Creek Wellness LLC

  • Addiction (Substance Use Disorder) Counselor
  • Wadsworth, OH
  • NPI 1003355090
  NPD

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1114656618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HIGH ST STE A",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811690",
            "telephone_number": "208-313-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 HIGH ST STE A",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811690",
            "telephone_number": "208-313-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOREY",
        "first_name": "JACQUELINE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.22007580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick William Starkey, DC
• Katherine Lee Stell, MSN, APRN, FNP-C
• Holly E Stevens, CCC-SLP
• Scott Allen Stickney Jr., FNP-BC
• Jennifer E. Stiles, IMFT, LPC
• Michael Subichin, M.D.
• Sue's Loving Grace LLC (Sue's Loving Grace)
• Summa Emergency Associates Inc.
• Summa Physicians LLC (Summa Health Medical Group)
• Summa Physicians LLC (Summa Health Medical Group)

• Clinical Social Worker in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.