Jacquelyn Ann Ehman, LISW-S, LICDC-CS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1000238 Issued in OH

Practice address

4352 W Sylvania Ave
Toledo, OH 43623-3463

Phone

(419) 787-5005

NPI assigned

May 14, 2025

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Team Recovery Ohio, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
  • NPI 1043863384
  Medicare reassignment NPD
• Team Recovery Ohio, LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1952067084
  NPD

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1952192437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 EAGLE RIDGE TRL",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829134",
            "telephone_number": "419-787-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4352 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233463",
            "telephone_number": "419-787-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHMAN",
        "first_name": "JACQUELYN",
        "middle_name": "ANN",
        "credential": "LISW-S, LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tariere M Egbe
• Nathan D Egbert, MD
• Sharon Marie Egbert, COTA
• Alexis M Eggenberger, MSSA, LISW-S, BCBA
• Leslie Sue Ehle, C.N.P.
• Nathaniel Ehni, PHARMD
• Kate Ehret, RN
• Grace Anne Ehrmantraut, LPC
• Jessica Ehrmantraut, PHARM.D.
• Andrew Ehrsam, DO

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, 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 May 14, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.