Jennifer Childers, MSSA, LISW-S
Social Worker, Clinical in Mentor, OH. Individual provider (NPI-1).
NPI number1295048809
StatusActive
Last updated in NPPESJan 18, 2012
Details
- NPI
- 1295048809
- Entity type
- Individual (NPI-1)
- Name
- Miss Jennifer Childers
- Credential
- MSSA, LISW-S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2010
- Last updated
- Jan 18, 2012
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 |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.1000236-SUPV | OH | Yes |
Practice location
8445 Munson RdMentor, OH 44060-2410
Phone 216-280-0401
Mailing address
1235 W 6th St2g
Cleveland, OH 44113-1321
Phone 216-280-0401
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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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All 141 Clinical Social Worker providers in Mentor · All 2,381 providers in Mentor
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