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NPI Code Detail

MEDICARE: JESSICA ELAINE STRAITS MSW, LISW

MEDICARE: JESSICA ELAINE STRAITS MSW, LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI.2406013OH
2104100000XSocial Worker51803093OH

General Provider Information

NPI Number : 1881150456
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ELAINE STRAITS MSW, LISW
Provider Business Mailing Address
First Line : 2685 ARMSTRONG RD
Second Line :
City : WOOSTER
State : OH
Zip : 44691-9041
Country : US
Telephone Number : 330-345-7949
Fax Number : 330-345-4218
Provider Business Practice Location Address
First Line : 2148 EAGLE PASS STE H
Second Line :
City : WOOSTER
State : OH
Zip : 44691-5357
Country : US
Telephone Number : 330-345-8970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2019
Last Update Date : 11/26/2024

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