Jessica Stolly, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1801012 Issued in OH

Practice address

1550 N Main St
Lima, OH 45801-2823

Phone

(419) 516-0327

Fax

(419) 225-8878

NPI assigned

Nov 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Health Partners of Western Ohio

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1760952741
  Medicare reassignment NPD
• Health Partners of Western Ohio

  • Federally Qualified Health Center (FQHC)
  • Holland, OH
  • NPI 1396605481
  NPD
• Health Partners of Western Ohio

  • Federally Qualified Health Center (FQHC)
  • Kenton, OH
  • NPI 1598118937
  NPD
• Health Partners of Western Ohio

  • Federally Qualified Health Center (FQHC)
  • Lima, OH
  • NPI 1740694462
  NPD (past)
• Health Partners of Western Ohio

  • Federally Qualified Health Center (FQHC)
  • Lima, OH
  • NPI 1902228844
  NPD (past)

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1285030551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST STREET",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012823",
            "telephone_number": "419-516-0327",
            "fax_number": "419-225-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLY",
        "first_name": "JESSICA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Stockdale
• Jon C. Stocker, D.D.S.
• Michelle Leslie Stockwell, MSW, LISW-S
• Tricia Stoker
• Carrie A. Stoller, NP-C
• Kimberly Beach Stolly, CCC SLP
• Marla Stone, RD, LD
• Kelsey Stoner, LSW
• Bridgett L Storer
• Kimberly Storer

• Clinical Social Worker in Lima, OH
• Providers in Lima, 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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.