Jessica Hays, LISW-S

Individual provider Active NPI Clinical Social Worker · Lima, OH

NPI 1982175931 · NPPES record last updated Dec 16, 2018

Key facts

NPI
1982175931
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
I.0700384 (OH)
Practice address
2963 Blue Jacket CT Ste B
Lima, OH 45806-1464
Phone
(419) 581-9138
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
I.0700384OHMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0700384 OH Yes

Addresses

Primary practice location

2963 Blue Jacket CT Ste B
Lima, OH 45806-1464

Mailing address

2963 Blue Jacket CT Ste B
Lima, OH 45806-1464
Phone (419) 581-9138

Other providers in Lima, OH

All providers in Lima, OH · Clinical Social Worker in Ohio

Sources for this page

Verify at the official NPI Registry.