Active NPI
Jacqueline Nicole Dover, MSSA, LSW
- School Social Worker
- North Royalton, OH
National Provider Identifier
1487953980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- S.1000326
- Practice address
- 17599 Waterbridge Dr
North Royalton, OH 44133-6467 - Phone
- (440) 390-1730
- NPI assigned
- Mar 23, 2011
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | S.1000326 | OH | Primary |
Addresses
Primary practice location
17599 Waterbridge Dr
North Royalton, OH 44133-6467
Mailing address
17599 Waterbridge Dr
North Royalton, OH 44133-6467
Phone (440) 390-1730
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 |
|---|---|---|---|
| S.1000326 | OH | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1487953980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17599 WATERBRIDGE DR",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441336467",
"telephone_number": "440-390-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17599 WATERBRIDGE DR",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441336467",
"telephone_number": "440-390-1730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVER",
"first_name": "JACQUELINE",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "MSSA, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-23",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "OH",
"license": "S.1000326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Royalton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.