Jamie Eversole, Lisw, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I. 1303306 Issued in OH

Legal business name

JAMIE EVERSOLE, LISW, LLC

Practice address

698 Morrison Rd
Columbus, OH 43213-4419

Phone

(419) 654-6699

Fax

(614) 626-8805

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Jamie Eversole, LISW

Title

Licensed Independent Social Worker

Phone

(419) 654-6699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1154742294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 MORRISON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134419",
            "telephone_number": "419-654-6699",
            "fax_number": "614-626-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 MORRISON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134419",
            "telephone_number": "419-654-6699",
            "fax_number": "614-626-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE EVERSOLE, LISW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "EVERSOLE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "LICENSED INDEPENDENT SOCIAL WORKER",
        "authorized_official_telephone_number": "419-654-6699",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "I. 1303306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.