Jennifer Doty, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1801167-SUPV Issued in OH

Practice address

40060 National Rd
Bethesda, OH 43719-9763

Phone

(740) 782-0092

NPI assigned

Nov 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Village NetworkGroup PAC ID 6901049089, 10 clinicians

Practice addresses (Care Compare)

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.

• Village Network

  • Voluntary or Charitable Agency
  • Wooster, OH
  • NPI 1124057914
  Medicare reassignment Care Compare group NPD
• Cedar Ridge Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Cambridge, OH
  • NPI 1063779460
  Medicare reassignment NPD
• Cedar Ridge Behavioral Health Solutions

  • Community/Behavioral Health Agency
  • Cambridge, OH
  • NPI 1447769666
  NPD (past)

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1861934143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NOBLE DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915353",
            "telephone_number": "330-264-3232",
            "fax_number": "330-264-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40060 NATIONAL RD",
            "city": "BETHESDA",
            "state": "OH",
            "postal_code": "437199763",
            "telephone_number": "740-782-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "JENNIFER",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0032185",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801167-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Craig, LPN
• Sarah J Dalrymple
• Sarah Dewalt-Donley
• Rachel A Doren, LSW
• David C Doty, QMHS
• Lisa M Doty, QMHS
• Christopher R. Doud, M.A., PCC
• Elite Emg Neurodiagnostics LLC
• Randy C Favor
• Cynthia Foose

• Clinical Social Worker in Bethesda, OH
• Providers in Bethesda, 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 Aug 14, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.