Individual
JACIE STEINHEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSA, LICDC, LISW
Contact information
Practice address
15 W MAIN ST, MADISON, OH 44057-3125
(440) 428-0118
(440) 417-0119
Mailing address
15 W MAIN ST, MADISON, OH 44057-3125
(440) 428-0118
(440) 417-0119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC161937
OH
1041C0700X
Clinical Social Worker
Primary
I2304293
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015846
—
OH
Enumeration date
09/22/2019
Last updated
03/19/2026
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