Mary Lee Jansen, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0029719 Issued in OH

Practice address

737 Bank St
Lodi, OH 44254-1025

Phone

(330) 636-1741

Fax

(330) 948-0880

NPI assigned

Apr 9, 2021

Last updated

Apr 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A New Day Lodi, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Lodi, OH
  • NPI 1881049856
  NPD
• A New Day Lodi, LLC

  • Mental Health Counselor
  • Lodi, OH
  • NPI 1477015840
  NPD (past)

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1811577315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 BANK ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541025",
            "telephone_number": "330-636-1741",
            "fax_number": "330-948-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 BANK ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541025",
            "telephone_number": "330-636-1741",
            "fax_number": "330-948-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "MARY",
        "middle_name": "LEE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0029719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "anewdaylodi.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "737 Bank St",
            "city": "Lodi",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442541025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Hancock, MD
• Carla Hillwig, PT
• Heidi Mae Hinderman, COTA/L
• Janelle Gene Hodges, LPN
• Yvonne Huffman
• Jeffrey D McKinley Etal PTR (Lodi Family Dental Center)
• John I Meilinger DDS Inc
• Laval Lamont Jones
• Deb Elaine Kellogg
• Rafik Khalil, MD

• Social Worker in Lodi, OH
• Providers in Lodi, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.