Individual provider Active NPI

Jennifer L Sines, LISW

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1194469593
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8075 Washington Village Dr
Dayton, OH 45458-1847
Phone
(513) 360-8554
NPI assigned
Apr 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

8075 Washington Village Dr
Dayton, OH 45458-1847

Mailing address

8075 Washington Village Dr
Centerville, OH 45458-1847
Phone (513) 360-8554

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
I20250723004312 OH Practitioner - Clinical Social Worker 1456867571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Behavioral Health, Inc.Group PAC ID 0143290726, 13 clinicians

Practice addresses (Care Compare)

1900 Fairgrove Ave
Hamilton, OH 45011-1966
Phone (513) 785-4895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindhaven Counseling LLC Clinical CurrentSince Jan 5, 2026 Accepting new patients
Community Behavioral Health Inc. CurrentSince Jul 9, 2025 Accepting new patients
Community Behavioral Health Inc. CurrentSince Jul 9, 2025 Accepting new patients
Community Behavioral Health, Inc. Current Accepting new patients

Locations

8075 Washington Village Dr
Dayton, OH 45458
Phone (513) 241-2370

820 S Martin Luther King Jr Blvd
Hamilton, OH 45011
Phone (513) 887-8500

1900 Fairgrove Ave
Hamilton, OH 45011
Phone (513) 785-4895

820 S Martin Luther King Jr Blvd
#J
Hamilton, OH 45011
Phone (513) 887-8500

Organizations & group practices 4

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": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1194469593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 WASHINGTON VILLAGE DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581847",
            "telephone_number": "513-360-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 WASHINGTON VILLAGE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581847",
            "telephone_number": "513-360-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINES",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.