Individual provider Active NPI

Jennifer L. Harrison, LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1396912267
Registry record updated May 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0800043 Issued in OH
Practice address
3950 Chester Ave
Cleveland, OH 44114-4625
Phone
(216) 431-4131
Fax
(216) 431-4133
NPI assigned
May 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2008

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 I.0800043 OH Primary

Addresses

Primary practice location

3950 Chester Ave
Cleveland, OH 44114-4625

Mailing address

3950 Chester Ave
Cleveland, OH 44114-4625
Phone (216) 431-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20100929001566 OH Practitioner - Clinical Social Worker 0941326656 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0800043OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Services for Homeless Persons, Inc. CurrentSince Nov 6, 2023 Accepting new patients

Locations

1744 Payne Ave
Cleveland, OH 44114
Phone (216) 361-8640

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210377600000",
    "number": "1396912267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 CHESTER AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441144625",
            "telephone_number": "216-431-4131",
            "fax_number": "216-431-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 CHESTER AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441144625",
            "telephone_number": "216-431-4131",
            "fax_number": "216-431-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-10",
        "last_updated": "2008-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.