Active NPI
Jeanne M Decker, M.S.W., L.I.S.W.
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1447301601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5074
- Practice address
- 1555 Bethel Rd
Columbus, OH 43220-2003 - Phone
- (614) 442-0664
- Fax
- (614) 442-0620
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5074 | OH | Primary |
Addresses
Primary practice location
1555 Bethel Rd
Columbus, OH 43220-2003
Mailing address
1555 Bethel Rd
Columbus, OH 43220-2003
Phone (614) 442-0664
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5074 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447301601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 BETHEL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202003",
"telephone_number": "614-442-0664",
"fax_number": "614-442-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 BETHEL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202003",
"telephone_number": "614-442-0664",
"fax_number": "614-442-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "JEANNE",
"middle_name": "M",
"credential": "M.S.W., L.I.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "5074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.