JENNIFER MARIE FACKELMAN (NPI# 1578828984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578828984 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE FACKELMAN |
| Practice Address |
1822 Cherry St Toledo OH 43608-2801 |
| Mailing Address |
2283 Ashland Ave Toledo OH 43620-1205 |
| Practice Telephone | 4197209247 |
| Mailing Telephone | 4192442175 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S.0901179 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861630972 | Jennifer Ann Fackelman | Occupational Therapist | 42 Norbrook Rd, Fairport, NY 14450-8958 | 2009-01-27 |
| Street Address |
1822 CHERRY ST |
| City | TOLEDO |
| State | OH |
| Zip Code | 43608-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295976363 | Matthew David Rizzo | Social Worker | 1822 Cherry St, Toledo, OH 43608-2801 | 2009-03-18 |
| 1598020976 | Melissa Arlene Mcmillan | Social Worker | 1822 Cherry St, Toledo, OH 43608-2801 | 2012-07-11 |
| 1821351677 | Jennifer Marie Seymour | Counselor | 1822 Cherry St, Toledo, OH 43608-2801 | 2012-06-18 |
| 1063709723 | Wendy Jean Shaheen | Social Worker | 1822 Cherry St, Toledo, OH 43608-2801 | 2011-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
| 1184244618 | Ghulam Mujtaba Ghumman | Student in an Organized Health Care Education/Training Program | Mercy Health St Vincent Medical Center, 2213 Cherry St Acc 1st Floor, Topedo, OH 43608 | 2020-04-24 |
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1164910899 | Israr Ul Haq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-27 |
| 1124516380 | Alexander Payvandi | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Fl, Toledo, OH 43608 | 2018-04-24 |
| Find all providers in zip 43608 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850124 | Dana Santina Pavel | Social Worker | 5134 Adella St, Toledo, OH 43613-2704 | 2020-01-18 |
| 1386287571 | Lynette Crow | Social Worker | 5726 Southwyck Blvd Ste 140, Toledo, OH 43614-1587 | 2019-10-21 |
| 1578033098 | Joseph Gerard Jardine | Social Worker | 1806 Madison Ave, Toledo, OH 43604-5460 | 2018-11-27 |
| 1487136743 | Resource Genie, LLC | Social Worker | 3335 Meijer Dr Ste 150, Toledo, OH 43617-3122 | 2018-09-04 |
| 1235649914 | Cecil Holston II | Social Worker | 2202 Portsmouth Ave, Toledo, OH 43613-4417 | 2017-10-06 |
| 1083133284 | Michael E Wiseman | Social Worker | 463 6th St, Toledo, OH 43605-1701 | 2017-09-19 |
| 1063948974 | Charles W Donaldosn | Social Worker | 1946 N 13th St Ste 230, Toledo, OH 43604-7200 | 2017-05-11 |
| 1871029330 | Sovereign Solutions, LLC | Social Worker | 1455 S Byrne Rd Ste D, Toledo, OH 43614-2316 | 2017-05-03 |
| 1003349911 | Stephanie Cafarelli Doran | Social Worker | 3454 Oak Alley Ct Ste 504, Toledo, OH 43606 | 2017-04-07 |
| 1891226239 | Julia Syring | Social Worker | 2109 Hughes Dr. Jobst Tower, Toledo, OH 43606-0970 | 2017-03-27 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.