LYNETTE JACKSON (NPI# 1902116486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902116486 |
| Entity Type | Individual |
| Full Name | LYNETTE JACKSON |
| Credential | LSW |
| Practice Address |
1530 W River Rd N Ste 300 Elyria OH 44035 |
| Mailing Address |
629 Georgetown Ave Elyria OH 44035-3001 |
| Practice Telephone | 4406100699 |
| Mailing Telephone | 4406100699 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S.0028220 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0268768 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902247521 | Lynette Michelle Jackson | Pharmacist | 224 Hamburg Tpke, Sjwh Pharmacy Department, Wayne, NJ 07470-2111 | 2013-07-11 |
| Street Address |
1530 W RIVER RD N STE 300 |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460763 | Holly Hill | Social Worker | 1530 W River Rd N Ste 300, Elyria, OH 44035-2788 | 2018-06-13 |
| 1588157614 | Jennifer Kate Berkey | Case Manager/Care Coordinator | 1530 W River Rd N Ste 300, Elyria, OH 44035-2788 | 2018-06-13 |
| 1407361082 | Leslie Ann Huff | Social Worker | 1530 W River Rd N Ste 300, Elyria, OH 44035-2788 | 2017-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309960 | Laura Michele Gooch-brown | Social Worker | 815 Sherman St, Elyria, OH 44035-6052 | 2019-01-05 |
| 1891264719 | Sandra K Stewart | Social Worker | 1530 W River Rd N, Elyria, OH 44035-2791 | 2018-11-20 |
| 1477996874 | James West | Social Worker | 247 Brunswick Dr Apt A, Elyria, OH 44035-4696 | 2013-04-16 |
| 1053521567 | Stephanie Nicole Mcwilliams | Social Worker | 415 Kenyon Ave, Elyria, OH 44035 | 2007-05-23 |
| 1588149413 | Latasha M. Washington | Social Worker | 347 Midway Blvd Ste 210, Elyria, OH 44035-2496 | 2018-09-26 |
| 1306328356 | Laura Berthold | Social Worker | 120 East Ave, Elyria, OH 44035-5652 | 2018-09-05 |
| 1922588276 | Latasha Kennard | Social Worker | 253 Warden Ave, Elyria, OH 44035-2649 | 2018-08-16 |
| 1619460763 | Holly Hill | Social Worker | 1530 W River Rd N Ste 300, Elyria, OH 44035-2788 | 2018-06-13 |
| 1376032649 | Kristen Durell | Social Worker | 628 Poplar St, Elyria, OH 44035-4065 | 2018-05-02 |
| 1316453624 | Daniel Claude Colegrove | Social Worker | 312 3rd St, Elyria, OH 44035-5618 | 2017-12-21 |
| Find all providers in ELYRIA | ||||
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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.