Individual provider Active NPI

Jillian Nicole Salmons, LISW

  • Clinical Social Worker
  • Jackson, OH
National Provider Identifier
1760447130
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0600125 Issued in OH
Practice address
1 Acy Ave
Ste B
Jackson, OH 45640-0828
Phone
(740) 286-5075
Fax
(740) 288-7335
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0600125 OH Primary

Addresses

Primary practice location

1 Acy Ave
Ste B
Jackson, OH 45640-0828

Mailing address

3086 State Route 160
Gallipolis, OH 45631-8409
Phone (740) 446-5500

Other identifiers 1

IdentifierTypeStateIssuer
0253701MedicaidOH

Other names 1

  • Ms. Jillian Nicole Eynon 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
I20070511000574 OH Practitioner - Clinical Social Worker 9133226947 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0600125OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Health Centers, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Hopewell Health Centers Inc CurrentSince Jan 1, 2018 Accepting new patients

Locations

90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091

3086 State Route 160
Gallipolis, OH 45631
Phone (740) 446-5500

Organizations & group practices 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1760447130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 STATE ROUTE 160",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456318409",
            "telephone_number": "740-446-5500",
            "fax_number": "740-441-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ACY AVE",
            "address_2": "STE B",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456400828",
            "telephone_number": "740-286-5075",
            "fax_number": "740-288-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMONS",
        "first_name": "JILLIAN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0600125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0253701",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "EYNON",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, OH

Sources for this page

Verify at the official NPI Registry.