Individual provider Active NPI

Jeralyn Nicole Giffen, MSW,LSW

  • School Social Worker
  • Liberty Township, OH
National Provider Identifier
1700442191
Registry record updated May 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
S1100369 Issued in OH
Practice address
7 Hansbrinker CT
Liberty Township, OH 45044-9737
Phone
(765) 580-1470
NPI assigned
May 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X S1100369 OH Primary

Addresses

Primary practice location

7 Hansbrinker CT
Liberty Township, OH 45044-9737

Mailing address

3990 Cypress CT
Amelia, OH 45102-7517
Phone (765) 580-1470

Other practice location 1

8916 Fontainebleau Ter
Cincinnati, OH 45231-4806
Phone (765) 580-1470

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
S1100369OHMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1557619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557619200000",
    "number": "1700442191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 CYPRESS CT",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451027517",
            "telephone_number": "765-580-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HANSBRINKER CT",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449737",
            "telephone_number": "765-580-1470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8916 Fontainebleau Ter",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452314806",
            "country_code": "US",
            "telephone_number": "765-580-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIFFEN",
        "first_name": "JERALYN",
        "middle_name": "NICOLE",
        "credential": "MSW,LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-12",
        "last_updated": "2019-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "S1100369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2019; 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.