Individual provider Active NPI

Nancy Carolyn Jobe, LISW

  • Clinical Social Worker
  • Cuyahoga Falls, OH
National Provider Identifier
1154964583
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009704 Issued in OH
Practice address
2321 2ND St Ste 118
Cuyahoga Falls, OH 44221-2575
Phone
(330) 926-0760
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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.0009704 OH Primary

Addresses

Primary practice location

2321 2ND St Ste 118
Cuyahoga Falls, OH 44221-2575

Mailing address

436 16TH St NE
Massillon, OH 44646-4837
Phone (330) 546-5980

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
I20191204000769 OH Practitioner - Clinical Social Worker 6507299625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redle Psychological Services LLCGroup PAC ID 8921052523, 2 clinicians

Practice addresses (Care Compare)

2321 2ND St
Suite 118
Cuyahoga Falls, OH 44221-2575
Phone (330) 926-0760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0009704OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
FHS Brimfield, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Redle Psychological Services LLC CurrentSince Oct 1, 2019 Accepting new patients

Locations

2321 2nd St
Ste 118
Cuyahoga Fls, OH 44221
Phone (330) 926-0760

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1154964583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 16TH ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464837",
            "telephone_number": "330-546-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 2ND ST STE 118",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212575",
            "telephone_number": "330-926-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBE",
        "first_name": "NANCY",
        "middle_name": "CAROLYN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.