Jessica Perry, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1502438-SUPV Issued in OH

Practice address

14805 Detroit Ave Ste 520
Lakewood, OH 44107-3932

Phone

(216) 202-0506

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jessica R. Perry, LLC

  • Clinical Social Worker
  • Lakewood, OH
  • NPI 1548158397
  NPD Authorized official
• Ebb & Flow Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lakewood, OH
  • NPI 1649797515
  NPD

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1881386738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE STE 520",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073932",
            "telephone_number": "216-202-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE STE 520",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073932",
            "telephone_number": "216-202-0506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17306 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441073533",
            "country_code": "US",
            "telephone_number": "216-543-5232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21250 Beachwood Dr",
            "address_purpose": "LOCATION",
            "city": "Rocky River",
            "state": "OH",
            "postal_code": "441162123",
            "country_code": "US",
            "telephone_number": "216-202-0506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1502438-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stan Joseph Pechan, DDS
• Megan Pedala
• Pediatric Practice, Inc
• Elizabeth Hansinger Pence, OTR/L
• Margarita Perez, MSN, APRN, PMHNP-BC
• Sara Perry, DC
• Kaitlyn Peterson
• Colleen Ann Petro, RN
• Margaret Marie Petrone, PH.D.
• Phillip Emerson Services, LLC

• Clinical Social Worker in Lakewood, OH
• Providers in Lakewood, 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 Jul 10, 2025; 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.