Jennifer Clegg, LISW-SUPV

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1501376-SUPV Issued in OH

Practice address

1281 Eastwood Ave
Mayfield Heights, OH 44124-1503

Phone

(440) 655-4611

NPI assigned

Jan 22, 2010

Last updated

Nov 5, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Recovery Resources

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1922186386
  NPD (past)
• Recovery Resources

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1922418748
  NPD (past)

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1548591027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 EASTWOOD AVE",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441241503",
            "telephone_number": "440-655-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 EASTWOOD AVE",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441241503",
            "telephone_number": "440-655-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEGG",
        "first_name": "JENNIFER",
        "credential": "LISW-SUPV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1501376-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Christine Cheselka, P.A.
• Christadel Global Transportation Service
• Courtney Clague
• Laklisha Clark, COUNSELOR AAS, MHFAB
• Alexandra Clarke
• Samantha Clement, BSN, RN
• Cleveland Clinic
• Cleveland Clinic Health System - East Region
• Cleveland Orthopedic and Spine Institute, LLC
• Cleveland Orthopedic and Spine Institute, LLC

• Clinical Social Worker in Mayfield Heights, OH
• Providers in Mayfield Heights, 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 Nov 5, 2023; 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.