NPIMap

Organization Active NPI

Jo LLC

  • Clinical Social Worker
  • Clarks Green, PA
National Provider Identifier
1780122150
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017373 Issued in PA
Legal business name
JO LLC
Practice address
120 N Abington Rd
Clarks Green, PA 18411-2541
Phone
(570) 479-1626
Fax
(570) 586-2196
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Jennifer P Odom, LCSWNPI 1033232251
Title
Therapist
Phone
(570) 479-1626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW017373 PA Primary

Addresses

Primary practice location

120 N Abington Rd
Clarks Green, PA 18411-2541

Mailing address

120 N Abington Rd
Clarks Green, PA 18411-2541
Phone (570) 479-1626

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1780122150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N ABINGTON RD",
            "city": "CLARKS GREEN",
            "state": "PA",
            "postal_code": "184112541",
            "telephone_number": "570-479-1626",
            "fax_number": "570-586-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N ABINGTON RD",
            "city": "CLARKS GREEN",
            "state": "PA",
            "postal_code": "184112541",
            "telephone_number": "570-479-1626",
            "fax_number": "570-586-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "570-479-1626",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Green, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.