Individual provider Active NPI

Jenna Michelle Luckett, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1740827955
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2204168 Issued in OH
Practice address
415 Glensprings Dr Ste 201
Cincinnati, OH 45246-2353
Phone
(513) 904-5075
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2004723 OH
Case Manager/Care Coordinator 171M00000X OH
Clinical Social Worker 1041C0700X I.2204168 OH Primary

Addresses

Primary practice location

415 Glensprings Dr Ste 201
Cincinnati, OH 45246-2353

Mailing address

415 Glensprings Dr Ste 201
Cincinnati, OH 45246-2353
Phone (513) 904-5075

Other identifiers 1

IdentifierTypeStateIssuer
0391468MedicaidOH

Other names 1

  • Jenna Michelle Slamka Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250513002273 OH Practitioner - Clinical Social Worker 1951829092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Crossroads CenterGroup PAC ID 4284057746, 5 clinicians

Practice addresses (Care Compare)

311 Martin Luther King Dr E
Cincinnati, OH 45219-2581
Phone (513) 475-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2004723OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Crossroads Center CurrentSince May 12, 2025 Accepting new patients

Locations

311 Martin Luther King Dr E
Cincinnati, OH 45219
Phone (513) 475-5300

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/thecrossroadscenter/r4/

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": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1740827955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GLENSPRINGS DR STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462353",
            "telephone_number": "513-904-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GLENSPRINGS DR STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462353",
            "telephone_number": "513-904-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKETT",
        "first_name": "JENNA",
        "middle_name": "MICHELLE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2004723",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2204168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391468",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "SLAMKA",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.