Jamie M Wintucky, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I9717 Issued in OH

Practice address

24197 Broadway Ave
Oakwood Village, OH 44146-6330

Phone

(216) 707-7901

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jamie Page Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Counseling and Wellness Group, LLC

  • Social Worker
  • Twinsburg, OH
  • NPI 1356856777
  NPD (past)
• Victoria Patrello LLC

  • Clinical Social Worker
  • Twinsburg, OH
  • NPI 1629636485
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1194736066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7391 WELLINGTON CT",
            "city": "BOSTON HEIGHTS",
            "state": "OH",
            "postal_code": "442361159",
            "telephone_number": "440-668-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24197 BROADWAY AVE",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441466330",
            "telephone_number": "216-707-7901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9810 Ravenna Rd",
            "address_purpose": "LOCATION",
            "city": "Twinsburg",
            "state": "OH",
            "postal_code": "440871794",
            "country_code": "US",
            "telephone_number": "330-331-2188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTUCKY",
        "first_name": "JAMIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0009717",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I9717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "PAGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dwayne Waldon
• Alexsis S Walker
• Shandon Terrion Washington, MAT
• Maria Annettee Whitman, LPN
• Robin S Williams
• Doug Yanky, RPH
• Vanessa Diane Young

• Clinical Social Worker in Oakwood Village, OH
• Providers in Oakwood Village, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.