Individual provider Active NPI

Jennifer Lynne Lovra, MSW, LSW

  • Clinical Social Worker
  • Mount Vernon, OH
National Provider Identifier
1366791295
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S1100652 Issued in OH
Practice address
105 E Chestnut St
Mount Vernon, OH 43050-3403
Phone
(740) 393-6799
Fax
(740) 393-2042
NPI assigned
Sep 6, 2012
Last updated
Sep 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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 S1100652 OH Primary

Addresses

Primary practice location

105 E Chestnut St
Mount Vernon, OH 43050-3403

Mailing address

17606 Coshocton Rd
Mount Vernon, OH 43050-9218
Phone (740) 393-6799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20230522000665 TN Practitioner - Clinical Social Worker 0547561748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1100652OHMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1366791295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17606 COSHOCTON RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509218",
            "telephone_number": "740-393-6799",
            "fax_number": "740-397-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E CHESTNUT ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503403",
            "telephone_number": "740-393-6799",
            "fax_number": "740-393-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVRA",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1100652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.