Individual provider Active NPI

Jessica Elaine Straits, MSW, LISW

  • Clinical Social Worker
  • Wooster, OH
National Provider Identifier
1881150456
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2406013 Issued in OH
Practice address
2148 Eagle Pass Ste H
Wooster, OH 44691-5357
Phone
(330) 345-8970
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2406013 OH Primary
Social Worker 104100000X 51803093 OH

Addresses

Primary practice location

2148 Eagle Pass Ste H
Wooster, OH 44691-5357

Mailing address

2685 Armstrong Rd
Wooster, OH 44691-9041
Phone (330) 345-7949

Other practice location 1

2685 Armstrong Rd
Wooster, OH 44691-9041
Phone (330) 345-7949

Other names 1

  • Jessica Elaine James Former name

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

State licenses

LicenseStateTypeSpecialty
51803093OHMDSocial Worker
I.2406013OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Children's Home of Ohio CurrentSince Feb 1, 2022 Accepting new patients
Christian Children's Home of Ohio CurrentSince Feb 1, 2022 Accepting new patients
Anazao Community Partners Past Accepting new patients
Anazao Community Partners Past Accepting new patients
Ohioguidestone Past Accepting new patients

Locations

2685 Armstrong Rd
Wooster, OH 44691
Phone (330) 345-7949

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cchoo/r4/

Organizations & group practices 5

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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1881150456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 ARMSTRONG RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919041",
            "telephone_number": "330-345-7949",
            "fax_number": "330-345-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 EAGLE PASS STE H",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915357",
            "telephone_number": "330-345-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2685 Armstrong Rd",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446919041",
            "country_code": "US",
            "telephone_number": "330-345-7949",
            "fax_number": "330-345-4218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAITS",
        "first_name": "JESSICA",
        "middle_name": "ELAINE",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2406013",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "51803093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JAMES",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.