Individual provider Active NPI

Jill Hetmanski, LSW

  • Social Worker
  • Canfield, OH
National Provider Identifier
1952289092
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.0028558 Issued in OH
Practice address
3656 High Meadow Dr
Canfield, OH 44406-9211
Phone
(330) 307-7292
NPI assigned
Aug 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.0028558 OH Primary

Addresses

Primary practice location

3656 High Meadow Dr
Canfield, OH 44406-9211

Mailing address

3656 High Meadow Dr
Canfield, OH 44406-9211
Phone (330) 307-7292

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260202001796 OH Practitioner - Clinical Social Worker 6305324211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3292 Stones Throw Ave
Poland, OH 44514-4213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.0028558OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Care Counseling LLC CurrentSince Dec 22, 2025 Accepting new patients

Locations

3292 Stones Throw Ave
Youngstown, OH 44514
Phone (330) 707-0771

Organizations & group practices 1

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": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1952289092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 HIGH MEADOW DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069211",
            "telephone_number": "330-307-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3656 HIGH MEADOW DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069211",
            "telephone_number": "330-307-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETMANSKI",
        "first_name": "JILL",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0028558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.