Healthcare Provider Details

I. General information

NPI: 1396584884
Provider Name (Legal Business Name): JENNIFER K ZAPADKA BSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER K KIRK

II. Dates (important events)

Enumeration Date: 05/23/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N LIMESTONE ST
SPRINGFIELD OH
45501-5001
US

IV. Provider business mailing address

150 N LIMESTONE ST
SPRINGFIELD OH
45501-5001
US

V. Phone/Fax

Practice location:
  • Phone: 937-390-2121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.0023568
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: