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Jessica Nicole Archer, LISW-S

Social Worker, Clinical in Elyria, OH. Individual provider (NPI-1).

NPI number1669963245
StatusActive
Last updated in NPPESApr 8, 2026

Details

NPI
1669963245
Entity type
Individual (NPI-1)
Name
Jessica Nicole Archer
Credential
LISW-S
Sex
Female
Sole proprietor
No
Enumeration date
May 19, 2018
Certification date
Apr 8, 2026
Last updated
Apr 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalI.2103129OHYes

Practice location

824 E Broad St
Elyria, OH 44035-6559

Phone 440-477-7195

Mailing address

824 E Broad St
Elyria, OH 44035-6559

Phone 440-477-7195

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Other Clinical Social Worker providers in Elyria, OH

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