Jessica Lane

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.1200631 Issued in OH

Practice address

609 Timber Valley Dr
Pataskala, OH 43062-3500

Phone

(614) 446-5310

NPI assigned

Dec 8, 2023

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.lane.1@27775.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cityblock Medical Practice, LLC

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1013673821
  Medicare reassignment NPD
• Grace Blossoms Behavioral Health

  • Clinical Social Worker
  • Reynoldsburg, OH
  • NPI 1659833655
  NPD (past)

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1497522502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 TIMBER VALLEY DR",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430623500",
            "telephone_number": "614-446-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 TIMBER VALLEY DR",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430623500",
            "telephone_number": "614-446-5310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155619",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16115 LaSalle St.",
            "address_purpose": "LOCATION",
            "city": "South Holland",
            "state": "IL",
            "postal_code": "60473",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1200631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Kreuter, PHARMD, RPH
• Kripa Homehealthcare LLC
• Krothapalli Dental Group Pataskala LLC
• Bezawit Kuma, PA-C
• Cheryl Jean Lampe, D.D.S.
• Nicholas Lee, DDS
• Melissa Ann Lenko, D.O.
• Allen T Lewis, M.D.
• Mercedes Lewis
• Licking Heights Local School District

• Clinical Social Worker in Pataskala, OH
• Providers in Pataskala, 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 Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.