Individual provider Active NPI

Lorraine Lynn Jordan-Shtelen, MSW, LISW-S

  • Clinical Social Worker
  • Hilliard, OH
National Provider Identifier
1265742993
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700086-SUPV Issued in OH
Practice address
3645 Ridge Mill Dr
Hilliard, OH 43026-7752
Phone
(614) 457-7876
Fax
(614) 457-7896
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1700086-SUPV OH Primary
Social Worker 104100000X S.1000928 OH

Addresses

Primary practice location

3645 Ridge Mill Dr
Hilliard, OH 43026-7752

Mailing address

7100 Graphics Way
Ste 3100
Lewis Center, OH 43035-1122
Phone (740) 428-0428

Other practice location 1

299 Cramer Creek Ct
Dublin, OH 43017-2586
Phone (614) 889-5722

Other practice location 2

7100 Graphics Way
Ste 3100
Lewis Center, OH 43035-1122
Phone (740) 428-0428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1000928OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Syntero, Inc. Social Worker CurrentSince Jan 11, 2023 Accepting new patients
Syntero, Inc. Past Accepting new patients

Locations

299 Cramer Creek Ct
Dublin, OH 43017
Phone (614) 889-5722

3645 Ridge Mill Dr
Hilliard, OH 43026
Phone (614) 457-7876

7100 Graphics Way
Ste 3100
Lewis Center, OH 43035
Phone (740) 428-0428

Organizations & group practices 2

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1265742993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 GRAPHICS WAY",
            "address_2": "STE 3100",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430351122",
            "telephone_number": "740-428-0428",
            "fax_number": "740-909-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 RIDGE MILL DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267752",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-7896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Cramer Creek Ct",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172586",
            "country_code": "US",
            "telephone_number": "614-889-5722",
            "fax_number": "614-889-9335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7100 Graphics Way",
            "address_2": "Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Lewis Center",
            "state": "OH",
            "postal_code": "430351122",
            "country_code": "US",
            "telephone_number": "740-428-0428",
            "fax_number": "740-909-4077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN-SHTELEN",
        "first_name": "LORRAINE",
        "middle_name": "LYNN",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700086-SUPV",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1000928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.