Jennifer Roberts Dugan, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I1302525 Issued in OH

Practice address

7506 Tyler Blvd
Mentor, OH 44060-5450

Phone

(440) 536-1004

Fax

(800) 397-0351

NPI assigned

Jun 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Elizabeth Roberts Other name

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

State licenses

Practice roles

Locations

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

• Signature Health, Inc.

  • Mental Health Counselor
  • Garfield Heights, OH
  • NPI 1679767289
  Medicare reassignment NPD
• Rock Cairn Counseling & Consulting, LLC

  dba Jennifer Roberts Dugan

  • Clinical Social Worker
  • Mentor, OH
  • NPI 1720672926
  NPD Authorized official
• Signature Health Inc

  dba Signature Health

  • Long Term Care Pharmacy
  • Willoughby, OH
  • NPI 1740502335
  NPD

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1548609985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440260324",
            "telephone_number": "440-536-1004",
            "fax_number": "440-397-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 TYLER BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605450",
            "telephone_number": "440-536-1004",
            "fax_number": "800-397-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "JENNIFER",
        "middle_name": "ROBERTS",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2022-04-21",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1302525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROBERTS",
            "middle_name": "ELIZABETH",
            "credential": "LISW-S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Drummond, LPN
• Debbie Dubeansky, RN, AGPCNP-BC
• Serrol J Dubin II
• Erica Duboc
• Amy Kathleen Dugan, MSSA LISW
• Alexanderia Q Dukes
• Rose Dunbrook, R.N.
• Dominic Dundee
• Aaron Dunlany
• Susan M Dykeman, MD

• Clinical Social Worker in Mentor, OH
• Providers in Mentor, 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 Apr 21, 2022; 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.