Active NPI
Jesse Evangeline Varner
- Clinical Social Worker
- Lorain, OH
National Provider Identifier
1982357927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S.2202316-TRNE
- Practice address
- 1865 N Ridge Rd E Ste a
Lorain, OH 44055-3359 - Phone
- (440) 324-1300
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.2202316-TRNE | OH | Primary |
Addresses
Primary practice location
1865 N Ridge Rd E Ste a
Lorain, OH 44055-3359
Mailing address
300 Olive St
Elyria, OH 44035-4020
Phone (440) 789-6426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S.2202316-TRNE | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | varnerj@applewoodcenters.org | Direct | ApplewoodCenters,Inc.BellefaireJCB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2202316-TRNE | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1982357927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 OLIVE ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440354020",
"telephone_number": "440-789-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 N RIDGE RD E STE A",
"city": "LORAIN",
"state": "OH",
"postal_code": "440553359",
"telephone_number": "440-324-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNER",
"first_name": "JESSE",
"middle_name": "EVANGELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.2202316-TRNE",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S.2202316-TRNE",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "varnerj@applewoodcenters.org",
"affiliation": "Y",
"endpointDescription": "Applewood email",
"affiliationName": "ApplewoodCenters,Inc.BellefaireJCB",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1865 N Ridge Rd E Ste A",
"city": "Lorain",
"state": "OH",
"country_code": "US",
"postal_code": "440553359",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.