Jason Obits, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851110800 Issued in MI

Practice address

212 E. Biddle Street
Jackson, MI 49203-4920

Phone

(517) 783-3434

NPI assigned

Aug 24, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Segue Inc

  • Adult Mental Health Clinic/Center
  • Jackson, MI
  • NPI 1174634315
  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1326715871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6159",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492046159",
            "telephone_number": "517-783-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E. BIDDLE STREET",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034920",
            "telephone_number": "517-783-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBITS",
        "first_name": "JASON",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jobits@segueinc.org",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Segue Inc",
            "address_1": "212 E. Biddle Street",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492034920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shane Connor O'Neill, CRNA
• Austin Michael Oberlander, CNA
• Hannah Nichole Oberst, NP
• Obhg Michigan, PC
• Shawn Obi, DO
• Occupational Health Program of Jackson
• Patricia Wells Oconnell, LMSW
• Odd Fellow & Rebekah Home of Michigan
• Office 4 PLLC
• Delis Ogando, DDS

• Clinical Social Worker in Jackson, MI
• Providers in Jackson, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.