Individual provider Active NPI

Jessica Lee Schneider, LCSW

  • Clinical Social Worker
  • Florence, KY
National Provider Identifier
1396366993
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203539 Issued in OH
Practice address
73 Cavalier Blvd Ste 105
Florence, KY 41042-5178
Phone
(859) 647-0787
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 254532 KY
Clinical Social Worker 1041C0700X I.2203539 OH Primary

Addresses

Primary practice location

73 Cavalier Blvd Ste 105
Florence, KY 41042-5178

Mailing address

73 Cavalier Blvd Ste 105
Florence, KY 41042-5178
Phone (859) 647-0787

Other practice location 1

1029 S Fort Thomas Ave Ste B
Fort Thomas, KY 41075-2315
Phone (859) 250-2262

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
254532KYMDClinical Social Worker
I.2203539OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Intensive Family Services, Inc. Clinical CurrentSince May 10, 2020 Accepting new patients
Holly Hill Children'S Home, Inc. Past Accepting new patients

Locations

1029 S Fort Thomas Ave
Ste B
Fort Thomas, KY 41075
Phone (859) 250-2262

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1396366993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CAVALIER BLVD STE 105",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410425178",
            "telephone_number": "859-647-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CAVALIER BLVD STE 105",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410425178",
            "telephone_number": "859-647-0787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1029 S Fort Thomas Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Thomas",
            "state": "KY",
            "postal_code": "410752315",
            "country_code": "US",
            "telephone_number": "859-250-2262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254532",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.