Poongothai G Jayaraj, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S1101655 Issued in OH

Practice address

12395 McCracken Rd Ste a-Up
Garfield HTS, OH 44125-2967

Phone

(216) 587-6727

NPI assigned

May 21, 2019

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Rakesh Ranjan MD & Associates, Inc.

  • Specialty Pharmacy
  • Garfield Heights, OH
  • NPI 1225435597
  NPD
• B. Riley Sober House

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
  • NPI 1417625666
  NPD (past)
• B. Riley Sober House

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1508557190
  NPD (past)
• Rakesh Ranjan M.D. & Assoc., Inc.

  • Clinical Medical Laboratory
  • Garfield Heights, OH
  • NPI 1033143722
  NPD (past)

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1669039145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WESTBROOK DR APT 111",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441441248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD STE A-UP",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252967",
            "telephone_number": "216-587-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYARAJ",
        "first_name": "POONGOTHAI",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1101655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0371424",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deshawnte Jackson
• Dwanda Jackson
• Latoya Jackson
• Tabitha Jackson
• Patricia Marie Janis
• Jessica J Jewell
• Lamont Johnson
• Mia Johnson, STNA
• Mikea Johnson
• Kaitlynn Joelle Johnston

• Social Worker in Garfield HTS, OH
• Providers in Garfield HTS, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.