Individual provider Active NPI

Jeremy Andre Babb, LISW

  • Clinical Social Worker
  • Akron, OH
National Provider Identifier
1255966875
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304774 Issued in OH
Practice address
999 N Main St
Akron, OH 44310-1456
Phone
(513) 834-7063
NPI assigned
Mar 4, 2020
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 16223 SC
Social Worker 104100000X I.2304774 OH
Clinical Social Worker 1041C0700X 257926 KY
Clinical Social Worker 1041C0700X 09015601 NY
Clinical Social Worker 1041C0700X 0904015363 VA
Clinical Social Worker 1041C0700X I.2304774 OH Primary

Addresses

Primary practice location

999 N Main St
Akron, OH 44310-1456

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice location 1

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (513) 853-8520

Other practice location 2

329 E 149th St
Bronx, NY 10451-5625
Phone (718) 769-2698

Other practice location 3

1701 Mercy Health Pl
Cincinnati, OH 45237-6147
Phone (513) 853-8520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, VA, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230911002037 KY Practitioner - Clinical Social Worker 9032573993 Reassigns benefits to 1 organization
I20231220000973 OH Practitioner - Clinical Social Worker 9032573993 Reassigns benefits to 7 organizations
I20240131000701 VA Practitioner - Clinical Social Worker 9032573993 Reassigns benefits to 2 organizations
I20250722002539 NY Practitioner - Clinical Social Worker 9032573993 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2304774OHMDSocial Worker
257926KYMDClinical Social Worker
09015601NYMDClinical Social Worker
0904015363VAMDClinical Social Worker
16223SCMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince May 17, 2025 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Jan 21, 2024 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince May 17, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince May 15, 2024 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince May 15, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince May 15, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince May 15, 2024 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Brightview, LLC CurrentSince Nov 13, 2023 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Jan 21, 2024 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC CurrentSince May 15, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Brightview LLC CurrentSince Nov 13, 2023 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince May 15, 2024 Accepting new patients
Mercy Health Physicians Kentucky LLC Past Accepting new patients

Locations

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

130 North St
Walton, NY 13856
Phone (607) 865-6541

999 N Main St
Akron, OH 44310
Phone (330) 929-2694

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

446 Morgan St
Cincinnati, OH 45206
Phone (513) 834-0763

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

830 W High St
Lima, OH 45801
Phone (419) 226-9694

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1255966875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443101456",
            "telephone_number": "513-834-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Lone Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037901",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515625",
            "country_code": "US",
            "telephone_number": "718-769-2698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Mercy Health Pl",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452376147",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "fax_number": "513-442-7695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABB",
        "first_name": "JEREMY",
        "middle_name": "ANDRE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "16223",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2304774",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257926",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "09015601",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015363",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.