Individual provider Active NPI

Jamie Lynne Sheehan

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1366912578
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2309578 Issued in OH
Practice address
3454 Oak Alley CT Ste 505
Toledo, OH 43606-1356
Phone
(419) 405-1000
NPI assigned
Nov 30, 2018
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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 S.2309578 OH Primary

Addresses

Primary practice location

3454 Oak Alley CT Ste 505
Toledo, OH 43606-1356

Mailing address

162 Chesterfield LN Apt 6
Maumee, OH 43537-3892

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.2309578OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra Reineck LLC Clinical CurrentSince Feb 25, 2024 Accepting new patients
Wildwood Counseling Services LLC Clinical CurrentSince Jun 24, 2024 Accepting new patients

Locations

3454 Oak Alley Ct
Ste 505
Toledo, OH 43606
Phone (419) 405-1000

Organizations & group practices 2

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": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1366912578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CHESTERFIELD LN APT 6",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 505",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061356",
            "telephone_number": "419-405-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "JAMIE",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2309578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.