Individual provider Active NPI

Jacqueline Jaros, LISW, LCSW

  • Clinical Social Worker
  • Garfield Heights, OH
National Provider Identifier
1841584455
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0800237 Issued in OH
Practice address
9999 Granger Rd Ste 2
Garfield Heights, OH 44125
Phone
(440) 487-7013
Fax
(216) 478-0122
NPI assigned
Jun 1, 2011
Last updated
Jul 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0800237 OH Primary

Addresses

Primary practice location

9999 Granger Rd Ste 2
Garfield Heights, OH 44125

Mailing address

9999 Granger Rd Ste 2
Garfield Heights, OH 44125-5319
Phone (440) 487-7013

Other practice location 1

689 N Hermitage Rd Ste 4
Hermitage, PA 16148-3237
Phone (724) 983-1940

Other practice location 2

456 N Pitt St
Mercer, PA 16137-1129
Phone (724) 662-7202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0800237OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Paoletta Counseling Services, Inc Clinical CurrentSince Oct 13, 2019 Accepting new patients
Lymphedema Place, LLC PastSince Jun 29, 2017 Accepting new patients

Locations

456 N Pitt St
Mercer, PA 16137
Phone (724) 662-7202

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1841584455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 GRANGER RD STE 2",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441255319",
            "telephone_number": "440-487-7013",
            "fax_number": "216-478-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 GRANGER RD STE 2",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "440-487-7013",
            "fax_number": "216-478-0122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "689 N Hermitage Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161483237",
            "country_code": "US",
            "telephone_number": "724-983-1940",
            "fax_number": "724-983-1963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "456 N Pitt St",
            "address_purpose": "LOCATION",
            "city": "Mercer",
            "state": "PA",
            "postal_code": "161371129",
            "country_code": "US",
            "telephone_number": "724-662-7202",
            "fax_number": "724-662-7208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAROS",
        "first_name": "JACQUELINE",
        "credential": "LISW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0800237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.