Jan Marie Maynor, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0009131 Issued in OH

Practice address

680 High St
Ste a
Wadsworth, OH 44281-1690

Phone

(330) 690-2337

Fax

(330) 822-6955

NPI assigned

Dec 4, 2006

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

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Flourishing Feelings, LLC

  • Clinical Social Worker
  • Tallmadge, OH
  • NPI 1982365466
  Medicare reassignment NPD Authorized official
• Wolf Creek Wellness LLC

  • Addiction (Substance Use Disorder) Counselor
  • Wadsworth, OH
  • NPI 1003355090
  Medicare reassignment NPD
• Child Guidance & Family Solutions

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
  • NPI 1821127952
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1841368099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HIGH ST",
            "address_2": "STE A",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811690",
            "telephone_number": "330-794-4254",
            "fax_number": "330-794-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 HIGH ST",
            "address_2": "STE A",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811690",
            "telephone_number": "330-690-2337",
            "fax_number": "330-822-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNOR",
        "first_name": "JAN",
        "middle_name": "MARIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin D Marty
• Shelby Elizabeth Martz
• Mary Ann Pap-Barbera, Lisw-S, LLC
• Maryanne Arnold, LLC
• Alissa Marie Maschke
• Jimmie Dale McCreery
• Jessica McCrork, FNP-C
• Hailee McDonough
• Toni D McDougald, MSN, WHNP-BC
• Molly Jo McDowell-Burns, PC, IMFT

• Clinical Social Worker in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.

Verify at the official NPI Registry.