Healthcare Provider Details

I. General information

NPI: 1427974815
Provider Name (Legal Business Name): JODI L LASHLEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 EISENHOWER BLVD STE 504
JOHNSTOWN PA
15904-3341
US

IV. Provider business mailing address

1559 SHELBURNE PL
JOHNSTOWN PA
15905-2054
US

V. Phone/Fax

Practice location:
  • Phone: 814-262-7140
  • Fax: 814-262-7169
Mailing address:
  • Phone: 814-421-9080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW019545
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: