Individual
JENNIFER R. LUSETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-SUPV
Contact information
Practice address
68 W CHURCH ST STE 203, NEWARK, OH 43055-5050
(740) 934-6474
(740) 934-6473
Mailing address
68 W CHURCH ST STE 203, NEWARK, OH 43055-5050
(740) 934-6474
(740) 934-6473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0293779
—
OH
01
—
I.2102780-SUPV
OHIO COUNSELOR, SOCIAL WORKER & MFT BOARD
OH
Enumeration date
07/20/2017
Last updated
09/30/2025
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