Jessica Nicole Archer, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2103129 Issued in OH

Practice address

824 E Broad St
Elyria, OH 44035-6559

Phone

(440) 477-7195

NPI assigned

May 19, 2018

Sex

Female

Sole proprietor

No

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.

• Jessica Archer Therapy Services

  • Clinical Social Worker
  • Elyria, OH
  • NPI 1255150983

  Clinical

  NPD Authorized official
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1174680557
  NPD
• Ohioguidestone

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1487452603
  NPD
• Ohioguidestone

  • Developmental - Behavioral Pediatrics Physician
  • Berea, OH
  • NPI 1609123728
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2026.

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1669963245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356559",
            "telephone_number": "440-477-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356559",
            "telephone_number": "440-477-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-19",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Francis Antochow, OD
• Kathryn Anzalone
• Applewood Centers, Inc.
• Applewood Centers, Inc.
• Victoria Arce
• Emily Janel Armstrong
• Alissia Renee Arnold
• Melba Asberry
• Janet Asche, ISWS
• Mark A Ash Jr., LMT

• All providers in Elyria, OH
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.