Jessica L Brostek, lisw
Social Worker in Grafton, OH. Individual provider (NPI-1).
NPI number1104238914
StatusActive
Last updated in NPPESMay 28, 2014
Details
- NPI
- 1104238914
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica L Brostek
- Credential
- lisw
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2014
- Last updated
- May 28, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | s1000238 | OH | Yes |
Other names
- Jessica L Baribeau (Other Name)
Practice location
2075 Avon Belden RdGrafton, OH 44044-9805
Phone 440-748-1049
Mailing address
2075 Avon Belden RdGrafton, OH 44044-9805
Phone 440-748-1049
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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