Jessica Spann, LSW, LCDCIII

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1201322 Issued in OH

Practice address

4553 Longfellow Rd
Sylvania, OH 43560-3338

Phone

(419) 277-4049

NPI assigned

Jun 5, 2025

Last updated

Jun 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Close 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": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1205720018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 LONGFELLOW RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603338",
            "telephone_number": "419-277-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 LONGFELLOW RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603338",
            "telephone_number": "419-277-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN",
        "first_name": "JESSICA",
        "credential": "LSW, LCDCIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1201322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CLOSE",
            "credential": "LSW,LCDCIII",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.