Jessica Sue Demaline, L.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0031417 Issued in OH

Practice address

7320 State Hughway 108
Suite a
Wauseon, OH 43567

Phone

(419) 335-3732

NPI assigned

Dec 8, 2009

Last updated

Dec 8, 2009By 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

Other names 1

• Miss Jessica Sue Potter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1194054916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 JEFFERSON AVE",
            "address_2": "SUITE 301",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436046955",
            "telephone_number": "419-244-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 STATE HUGHWAY 108",
            "address_2": "SUITE A",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "43567",
            "telephone_number": "419-335-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMALINE",
        "first_name": "JESSICA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "L.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0031417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "POTTER",
            "middle_name": "SUE",
            "prefix": "MISS",
            "credential": "L.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Savannah G Crouch, MSW LSW
• Brittany Sue Crow
• Haley Cruz, NP
• Charles David Sr., MD
• Scott John Deering, MD
• Billie Denton-Miller, NP-C
• Sarah Domoe, IBCLC
• Elizabeth Ann Ducey
• Dennis Austin Dunlap, PHARMD
• Rachel Durham

• Social Worker in Wauseon, OH
• Providers in Wauseon, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.