JOSEPH GERARD JARDINE (NPI# 1578033098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578033098 |
| Entity Type | Individual |
| Full Name | JOSEPH GERARD JARDINE |
| Credential | LISW |
| Practice Address |
1806 Madison Ave Toledo OH 43604-5460 |
| Mailing Address |
5855 Monroe St Ste 201 Sylvania OH 43560-2270 |
| Practice Telephone | 4192911801 |
| Mailing Telephone | 4192911801 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.0004783-SUPV | OH | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801065763 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MICHIGAN SOCIAL WORK LICENSE | 6801065763 | 01 |
| OH | MY OHIO SOCIAL WORK LICENSE | I.4783 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528229853 | Joseph Jardine | Counselor | 1937 W Chapman Ave Ste 210, Orange, CA 92868-2632 | 2008-06-19 |
| Street Address |
1806 MADISON AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43604-5460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879590 | Kaushal B Jani | Student in an Organized Health Care Education/Training Program | Saint Vincent Medical Center, 2200 Jefferson Ave, Toledo, OH 43604 | 2020-04-08 |
| 1548807316 | Jennifer Marie Bismack | Peer Specialist | 142 23rd St, Suite 911, Toledo, OH 43604 | 2019-11-29 |
| 1841849064 | Keith Allen Vore | Student in an Organized Health Care Education/Training Program | 1117 Jefferson #214, Toledo, OH 43604 | 2019-09-10 |
| 1740846765 | Mohammad Shahrukh Tanweer | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent Medical Center, 2200 Jefferson Avenue, Toledo, OH 43604 | 2019-05-15 |
| 1740846229 | Sami Al-rahman Syed | Student in an Organized Health Care Education/Training Program | Mercy Health - St. Vincent, 2200 Jefferson Ave., Toledo, OH 43604 | 2019-05-10 |
| 1306402870 | Poojitha Kolluri | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Avenue - Mercy Family Physician, Toledo, OH 43604 | 2019-05-10 |
| 1407375090 | Keyana Renee Galloway | Social Worker | 500 Madison Ave Ste 300, Toledo, OH 43604 | 2017-09-14 |
| 1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
| 1811426208 | Rosamaria Sanchez | Counselor | 701 Jefferson Ave Suite 101, Toledo, OH 43604 | 2017-06-08 |
| 1306373014 | Salwa Beydoun | Social Worker | 701 Jefferson, Toledo, OH 43604 | 2017-05-12 |
| Find all providers in zip 43604 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850124 | Dana Santina Pavel | Social Worker | 5134 Adella St, Toledo, OH 43613-2704 | 2020-01-18 |
| 1386287571 | Lynette Crow | Social Worker | 5726 Southwyck Blvd Ste 140, Toledo, OH 43614-1587 | 2019-10-21 |
| 1487136743 | Resource Genie, LLC | Social Worker | 3335 Meijer Dr Ste 150, Toledo, OH 43617-3122 | 2018-09-04 |
| 1235649914 | Cecil Holston II | Social Worker | 2202 Portsmouth Ave, Toledo, OH 43613-4417 | 2017-10-06 |
| 1083133284 | Michael E Wiseman | Social Worker | 463 6th St, Toledo, OH 43605-1701 | 2017-09-19 |
| 1063948974 | Charles W Donaldosn | Social Worker | 1946 N 13th St Ste 230, Toledo, OH 43604-7200 | 2017-05-11 |
| 1871029330 | Sovereign Solutions, LLC | Social Worker | 1455 S Byrne Rd Ste D, Toledo, OH 43614-2316 | 2017-05-03 |
| 1003349911 | Stephanie Cafarelli Doran | Social Worker | 3454 Oak Alley Ct Ste 504, Toledo, OH 43606 | 2017-04-07 |
| 1891226239 | Julia Syring | Social Worker | 2109 Hughes Dr. Jobst Tower, Toledo, OH 43606-0970 | 2017-03-27 |
| 1336685130 | James Thompson | Social Worker | 5103 Adella St, Toledo, OH 43613-2703 | 2017-01-17 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.