Individual provider Active NPI

Jessica S Purfey, MSW, LISW

  • Clinical Social Worker
  • Warren, OH
National Provider Identifier
1982092979
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102918 Issued in OH
Practice address
8577 E Market St
Warren, OH 44484-2345
Phone
(330) 856-6663
Fax
(330) 856-1581
NPI assigned
Dec 30, 2014
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 S.1500678 OH
Clinical Social Worker 1041C0700X I.2102918 OH Primary

Addresses

Primary practice location

8577 E Market St
Warren, OH 44484-2345

Mailing address

2980 Belmont Ave
Youngstown, OH 44505-1834
Phone (330) 759-0276

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
I20210707001923 OH Practitioner - Clinical Social Worker 5496157950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rajendra P Koirala, M.D., LLCGroup PAC ID 8820334931, 23 clinicians

Practice addresses (Care Compare)

725 Boardman Canfield Rd
Suite L1
Boardman, OH 44512-4370
Phone (330) 330-8655

Merit-based Incentive Payment System (MIPS)

Final score
41.34 of 100Reported as group
Quality
20.12
Improvement activities
0
Cost
84.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2102918OHMDClinical Social Worker
S.1500678OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare, Inc. CurrentSince Jun 28, 2021 Accepting new patients
Psy-Care Inc Mental Health CurrentSince Jun 28, 2021 Accepting new patients
Rajendra P Koirala, M.D., LLC CurrentSince Nov 4, 2024 Accepting new patients
Psycare, Inc. Mental Health PastSince Jun 28, 2021 Accepting new patients

Locations

378 N High St
Cortland, OH 44410
Phone (330) 637-8668

8577 E Market St
Warren, OH 44484
Phone (330) 856-6663

2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-0276

725 Boardman Canfield Rd
Ste L1
Youngstown, OH 44512
Phone (330) 330-8655

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1982092979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051834",
            "telephone_number": "330-759-0276",
            "fax_number": "330-759-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8577 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842345",
            "telephone_number": "330-856-6663",
            "fax_number": "330-856-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURFEY",
        "first_name": "JESSICA",
        "middle_name": "S",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1500678",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.