Active NPI
Jacquelyn Alyson Linville, LSW, MSW
- Social Worker
- West Liberty, OH
National Provider Identifier
1144717034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0029457
- Practice address
- 414 N Detroit St
West Liberty, OH 43357-9690 - Phone
- (937) 465-0010
- Fax
- (888) 925-1725
- NPI assigned
- Apr 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0029457 | OH | Primary |
Addresses
Primary practice location
414 N Detroit St
West Liberty, OH 43357-9690
Mailing address
414 N Detroit St
West Liberty, OH 43357-9690
Phone (937) 465-0010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.0029457 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adriel School, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Bellefontaine, OH
- NPI 1932177789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1144717034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 N DETROIT ST",
"city": "WEST LIBERTY",
"state": "OH",
"postal_code": "433579690",
"telephone_number": "937-465-0010",
"fax_number": "888-925-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N DETROIT ST",
"city": "WEST LIBERTY",
"state": "OH",
"postal_code": "433579690",
"telephone_number": "937-465-0010",
"fax_number": "888-925-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINVILLE",
"first_name": "JACQUELYN",
"middle_name": "ALYSON",
"credential": "LSW, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0029457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Liberty, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.