Individual
JESSICA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
15 N 3RD ST, SUITE 200, NEWARK, OH 43055-5550
(740) 349-7511
(740) 522-4263
Mailing address
15 N 3RD ST, SUITE 200, NEWARK, OH 43055-5550
(740) 349-7511
(740) 522-4263
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I0900294
OH
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2892946
—
OH
Enumeration date
06/09/2016
Last updated
04/06/2022
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