Jewell Leigh Good, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-00008979-S Issued in OH

Practice address

8997 Hollansburg Sampson Rd
Arcanum, OH 45304-8617

Phone

(937) 248-7582

NPI assigned

Jul 12, 2020

Last updated

May 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jewell Babish Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1594512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1417575820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8997 HOLLANSBURG SAMPSON RD",
            "city": "ARCANUM",
            "state": "OH",
            "postal_code": "453048617",
            "telephone_number": "937-248-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8997 HOLLANSBURG SAMPSON RD",
            "city": "ARCANUM",
            "state": "OH",
            "postal_code": "453048617",
            "telephone_number": "937-248-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "JEWELL",
        "middle_name": "LEIGH",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-12",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-00008979-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEWELL",
            "last_name": "BABISH",
            "credential": "LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Arcanum, OH
• Providers in Arcanum, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.