Jade Alexis Callum

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3055 Kettering Blvd Ste 311
Moraine, OH 45439-1900

Phone

(937) 424-0216

NPI assigned

Feb 8, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1730688441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 WOODMAN PARK DR APT 7",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321104",
            "telephone_number": "937-520-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 KETTERING BLVD STE 311",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391900",
            "telephone_number": "937-424-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLUM",
        "first_name": "JADE",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Cain, APRN
• Kevin Anthony Callender
• Jessica Hung Calligan, SWT
• Sarah Callihan, LPC
• Ebony Nichole Calloway
• Shannon Jean Calton, MS, LPCC
• Heather Ann Campbell, PMHNP
• Cardinal Health 414, LLC
• Hannah Danielle Carico
• Dajuan Wesley Carpenter, COTA

• 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 Feb 8, 2018; 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.