Paulette Jenice Edington

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2411383 Issued in OH

Practice address

197 W Market St
Warren, OH 44481-1045

Phone

(330) 330-8332

NPI assigned

Nov 17, 2020

Last updated

Oct 28, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1588267231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 W MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811045",
            "telephone_number": "330-330-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 W MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811045",
            "telephone_number": "330-330-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDINGTON",
        "first_name": "PAULETTE",
        "middle_name": "JENICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2411383",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Jason Eckenrode, CPRS
• Denise Lynn Eckroate
• Erica Eckstrom
• Dorian L Economos, AUD
• Amanda Eden
• Edward G Myers DO Inc
• Christos A Efthimiou, D.C.
• Katherine Louise Eggleston
• Resheta Sade Eggleston, MSW,LSW
• Jessica Egner, B.A.

• Social Worker in Warren, OH
• Providers in Warren, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.