Active NPI
Jessica Dawn Coriell, LISW-S
- Clinical Social Worker
- Portsmouth, OH
National Provider Identifier
1447962964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1000331
- Practice address
- 1131 Coriell Rd
Portsmouth, OH 45662-9085 - Phone
- (740) 981-7759
- NPI assigned
- Dec 15, 2022
- 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 | I.1000331 | OH | Primary |
Addresses
Primary practice location
1131 Coriell Rd
Portsmouth, OH 45662-9085
Mailing address
1131 Coriell Rd
Portsmouth, OH 45662-9085
Phone (740) 981-7759
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 |
|---|---|---|---|
| I.1000331 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1447962964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 CORIELL RD",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456629085",
"telephone_number": "740-981-7759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 CORIELL RD",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456629085",
"telephone_number": "740-981-7759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORIELL",
"first_name": "JESSICA",
"middle_name": "DAWN",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-15",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1000331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.