Active NPI
Jillian Nicole Salmons, LISW
- Clinical Social Worker
- Jackson, OH
National Provider Identifier
1760447130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0600125
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0253701 | Medicaid | OH |
Other names 1
- Ms. Jillian Nicole Eynon
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0600125 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopewell Health Centers, Inc. | Current | Accepting new patients | |
| Hopewell Health Centers Inc | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, OH
- NPI 1699010348
-
- Community/Retail Pharmacy
- The Plains, OH
- NPI 1215777230
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.