Active NPI
Jeanne Marie Mohn, SOCIAL WORKER
- Social Worker
- Columbia Station, OH
National Provider Identifier
1639697253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 13163 E Heather Lane
Columbia Station, OH 44028 - Phone
- (330) 418-9528
- NPI assigned
- Sep 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
13163 E Heather Lane
Columbia Station, OH 44028
Mailing address
13163 E Heather Lane
Columbia Station, OH 44028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S0000410 | Other | OH | SW LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504483200000",
"number": "1639697253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13163 E HEATHER LANE",
"city": "COLUMBIA STATION",
"state": "OH",
"postal_code": "44028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13163 E HEATHER LANE",
"city": "COLUMBIA STATION",
"state": "OH",
"postal_code": "44028",
"telephone_number": "330-418-9528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHN",
"first_name": "JEANNE",
"middle_name": "MARIE",
"credential": "SOCIAL WORKER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-04",
"last_updated": "2017-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SW LICENSE",
"identifier": "S0000410",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia Station, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.