MS. JACQUELYN SUSAN GOULD (NPI# 1962705814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962705814 |
| Entity Type | Individual |
| Full Name | MS. JACQUELYN SUSAN GOULD |
| Credential | LISW-S |
| Practice Address |
22001 Fairmount Blvd University Heights OH 44118-4819 |
| Practice Telephone | 2163208315 |
| Practice Fax Number | 2163206446 |
| Mailing Telephone | 2163208315 |
| Mailing Fax Number | 2163206446 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I-0005692 SUPV | OH | Behavioral Health & Social Service Providers |
| Street Address |
22001 FAIRMOUNT BLVD |
| City | UNIVERSITY HEIGHTS |
| State | OH |
| Zip Code | 44118-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574458 | Noah Leavitt | Social Worker | 22001 Fairmount Blvd, University Heights, OH 44118-4897 | 2020-09-24 |
| 1518468701 | Emily Katherine Cherney | Social Worker | 22001 Fairmount Blvd, University Heights, OH 44118 | 2018-02-23 |
| 1558710087 | Samantha Kissig | Counselor | 22001 Fairmount Blvd, University Heights, OH 44118-4819 | 2016-06-06 |
| 1982082095 | Tiffany Drohan | Social Worker | 22001 Fairmount Blvd, University Heights, OH 44118-4819 | 2015-05-08 |
| 1578987053 | Emma Bogard | Social Worker | 22001 Fairmount Blvd, University Heights, OH 44118-4819 | 2014-02-05 |
| 1477825750 | Amanda Meade | Counselor | 22001 Fairmount Blvd, University Heights, OH 44118-4819 | 2012-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| 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 |
|---|---|---|---|---|
| 1164853818 | Kelly O'connor | Social Worker | 4389 Silsby Rd, University Heights, OH 44118-3963 | 2013-12-05 |
| 1801199542 | Robert Louis Lieberman | Social Worker | 2645 University Blvd Apt 205, University Heights, OH 44118-4736 | 2010-12-20 |
| 1699824011 | Jose Camerino | Social Worker | 3786 Claridge Oval, University Heights, OH 44118-4706 | 2007-01-09 |
| 1528115383 | Michael J Armin | Social Worker | 4344 Baintree Rd, University Heights, OH 44118-3931 | 2007-01-04 |
| 1578987053 | Emma Bogard | Social Worker | 22001 Fairmount Blvd, University Heights, OH 44118-4819 | 2014-02-05 |
| 1902050065 | Tanisha Michele Askew-gingerich | Social Worker | 14055 Cedar Rd Ste 107, University Heights, OH 44118-3333 | 2008-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063469 | Matthew James Smith | Social Worker | 24799 Purcell Rd, South Bloomingville, OH 43152-9740 | 2020-11-06 |
| 1093315756 | Lisa Newburger | Social Worker | 5096 Stansbury Dr Apt Suite, Solon, OH 44139-1269 | 2020-10-30 |
| 1275133068 | Sonya Latrice Fuller | Social Worker | 38616 Fairway Glenn Blvd, Willoughby, OH 44094-7188 | 2020-10-29 |
| 1285234450 | Jamie Lynne Turner | Social Worker | 214 Cornell Ave, Elyria, OH 44035-6038 | 2020-10-28 |
| 1336748268 | Megan Ferguson | Social Worker | 2516 Gardenia Dr, Columbus, OH 43235-5515 | 2020-10-21 |
| 1841898871 | Monique T Robinson | Social Worker | 2900 Green Rd, Shaker Heights, OH 44122-3052 | 2020-10-12 |
| 1013514363 | Joan Arnson | Social Worker | 23604 Ranch Rd, Beachwood, OH 44122-1530 | 2020-10-08 |
| 1609473404 | Solena Marie Gibson | Social Worker | 27070 Cedar Rd, Beachwood, OH 44122-8131 | 2020-10-05 |
| 1326645326 | Seeking Calm Institute, LLC | Social Worker | 3273 Reed Point Dr, Hilliard, OH 43026-1556 | 2020-10-03 |
| 1003413063 | Catherine Alexander | Social Worker | 276 Mainsail Dr, Westerville, OH 43081-2741 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSITY HEIGHTS |
| Zip Code | 44118 |
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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.