Jaclyn M Scanlan, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0800313 Issued in OH

Practice address

5350 Lamme Rd
Moraine, OH 45439-3215

Phone

(937) 534-4632

Fax

(937) 534-4609

NPI assigned

Apr 3, 2009

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1700028800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 LITTLE FALLS DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454589707",
            "telephone_number": "315-269-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 LAMME RD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454393215",
            "telephone_number": "937-534-4632",
            "fax_number": "937-534-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "JACLYN",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0800313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000611131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Sater
• Donna Savage
• Christian Sawyers, LSW
• Denell Sayne
• Ann Marie Scalero, MS,LPCC-S
• Aida E Scanlon, P.A.
• Laura K Scarpero, LSW
• Michelle L Schaffer, MA
• Emma Schenck
• Daniel A Schindler

• Clinical Social Worker in Moraine, OH
• Providers in Moraine, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.