Active NPI
Scarlett Jefferson
- Social Worker
- Elyria, OH
National Provider Identifier
1790384352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2100 N Ridge Rd
Elyria, OH 44035-1241 - Phone
- (440) 324-1300
- NPI assigned
- Oct 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2100 N Ridge Rd
Elyria, OH 44035-1241
Mailing address
2100 N Ridge Rd
Elyria, OH 44035-1241
Other practice location 1
9999 Independence Blvd
Parma Heights, OH 44130-4644
Phone (440) 885-2330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1790384352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 N RIDGE RD",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440351241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N RIDGE RD",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440351241",
"telephone_number": "440-324-1300"
}
],
"practiceLocations": [
{
"address_1": "9999 Independence Blvd",
"address_purpose": "LOCATION",
"city": "Parma Heights",
"state": "OH",
"postal_code": "441304644",
"country_code": "US",
"telephone_number": "440-885-2330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEFFERSON",
"first_name": "SCARLETT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.