Individual provider Active NPI

Jane Marie Fletcher, L.I.S.W.-S

  • Clinical Social Worker
  • Findlay, OH
National Provider Identifier
1306920681
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0005577 Issued in OH
Practice address
1100 E Main Cross St
Findlay, OH 45840-6381
Phone
(419) 424-1471
Fax
(419) 424-1413
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0005577 OH Primary

Addresses

Primary practice location

1100 E Main Cross St
Findlay, OH 45840-6381

Mailing address

715 S Taft Ave
Fremont, OH 43420-3237
Phone (419) 334-6619

Other identifiers 1

IdentifierTypeStateIssuer
0100801MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0005577OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1306920681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S TAFT AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203237",
            "telephone_number": "419-334-6619",
            "fax_number": "419-334-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MAIN CROSS ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458406381",
            "telephone_number": "419-424-1471",
            "fax_number": "419-424-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JANE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.I.S.W.-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0005577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100801",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.