Individual provider Active NPI

Jill Marie Cholensky, LSW

  • Clinical Social Worker
  • Youngstown, OH
National Provider Identifier
1861045569
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
7059 West Blvd Apt 232
Youngstown, OH 44512-4333
Phone
(234) 600-8200
Fax
(614) 826-7577
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

7059 West Blvd Apt 232
Youngstown, OH 44512-4333

Mailing address

7059 West Blvd Apt 232
Youngstown, OH 44512-4333
Phone (234) 600-8200

Other practice location 1

243 E Marshall Rd # B
Mc Donald, OH 44437-1760
Phone (234) 600-8200

Other identifiers 1

IdentifierTypeStateIssuer
0382386MedicaidOH

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Healing Counseling, LLC Clinical CurrentSince Nov 20, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1861045569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7059 WEST BLVD APT 232",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124333",
            "telephone_number": "234-600-8200",
            "fax_number": "614-826-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7059 WEST BLVD APT 232",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124333",
            "telephone_number": "234-600-8200",
            "fax_number": "614-826-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 E Marshall Rd # B",
            "address_purpose": "LOCATION",
            "city": "Mc Donald",
            "state": "OH",
            "postal_code": "444371760",
            "country_code": "US",
            "telephone_number": "234-600-8200",
            "fax_number": "614-826-7577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOLENSKY",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382386",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.