Individual provider Active NPI

Jasmine Reed, LSW

  • Social Worker
  • Shaker Heights, OH
National Provider Identifier
1689384992
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2106908 Issued in OH
Practice address
20551 Shelburne Rd
Shaker Heights, OH 44122-1940
Phone
(815) 272-5300
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X S.2106908 OH Primary

Addresses

Primary practice location

20551 Shelburne Rd
Shaker Heights, OH 44122-1940

Mailing address

20551 Shelburne Rd
Shaker Heights, OH 44122-1940
Phone (815) 272-5300

Other names 1

  • Jasmine Klecka Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jasmine@chawc.org Cleveland Health and Wellness Center

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

State licenses

LicenseStateTypeSpecialty
S.2106908OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Health and Wellness Center Single Specialty PastSince Oct 12, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1689384992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20551 SHELBURNE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441221940",
            "telephone_number": "815-272-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20551 SHELBURNE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441221940",
            "telephone_number": "815-272-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JASMINE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jasmine@chawc.org",
            "affiliation": "Y",
            "affiliationName": "Cleveland Health and Wellness Center",
            "address_1": "20525 Detroit Rd",
            "address_2": "Suite 8",
            "city": "Rocky River",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441162444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "KLECKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.