Jodi Startup, MS, MSW, ABD, LISWS
Individual provider Active NPI Clinical Social Worker · Wakeman, OH
NPI 1124754650 · NPPES record last updated Jul 27, 2022
Key facts
- NPI
- 1124754650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I1451231 (OH)
- Practice address
- 57 Verlin St
Wakeman, OH 44889-9310 - Phone
- (440) 420-2375
- NPI assigned
- Jul 27, 2022
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I1451231 | OH | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I1451231 | OH | Yes |
Addresses
Primary practice location
57 Verlin St
Wakeman, OH 44889-9310
Mailing address
57 Verlin St
Wakeman, OH 44889-9310
Phone (440) 420-2375
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jstartup.ms.msw.abd.lisws@gmail.com | Direct |
Other providers in Wakeman, OH
- Samuel E Ross
- Zsolt K Sinka
- Brooke Smith
- Deborah Jean Sommers
- Jessie Lynn Spiegelberg
- Justin E Studd
- Lisa Michelle Studd
- Jennifer Szabo
- Margot Thornton
- Heather Tully
All providers in Wakeman, 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 Jul 27, 2022. 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.