Jodi Jankowski Lisw-S, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I1100168 Issued in OH

Legal business name

JODI JANKOWSKI LISW-S, LLC

Practice address

520 Broadway St
Toledo, OH 43604-8808

Phone

(419) 349-6584

NPI assigned

Jun 17, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Jodi Lynn Jankowski, LISW-SNPI 1255619094

Title

Clinical Therapist/Member

Phone

(419) 349-6584

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodi Lynn Jankowski, LISW-S

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1255619094
  NPD (past) Authorized official

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1902256175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BROADWAY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436048808",
            "telephone_number": "419-349-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BROADWAY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436048808",
            "telephone_number": "419-349-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODI JANKOWSKI LISW-S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "JANKOWSKI",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL THERAPIST/MEMBER",
        "authorized_official_telephone_number": "419-349-6584",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I1100168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157063",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255619094",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Toledo, OH
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.