Jeremy Paul Clevenger, BS, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S1201394 Issued in OH

Practice address

525 Metro PL N Ste 300
Dublin, OH 43017-5320

Phone

(855) 289-1722

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Anazao Community Partners

  • Community/Behavioral Health Agency
  • Wooster, OH
  • NPI 1073873923
  NPD (past)
• Anazao Community Partners

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wooster, OH
  • NPI 1164471082
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1306992862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E PINE ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 METRO PL N STE 300",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175320",
            "telephone_number": "855-289-1722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2587 Back Orrville Rd",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446919523",
            "country_code": "US",
            "telephone_number": "330-264-9597",
            "fax_number": "330-264-0946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "JEREMY",
        "middle_name": "PAUL",
        "credential": "BS, LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1201394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2910854",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Cleghorn, APRN
• Charlotte Kathleen Clem, CNP
• Malik Clements
• Nicole Lynn Clester, OT
• Kelly Ar Cleveland
• Melissa Clevenger
• Cleverdogs, LLC
• Christina Clifton
• Taylor Cline
• Tina Cline

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.