JACK WHEELER (NPI# 1851759211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851759211 |
| Entity Type | Individual |
| Full Name | JACK WHEELER |
| Credential | MSW, LISW-S |
| Practice Address |
2865 W Broad St Columbus OH 43204-2643 |
| Practice Telephone | 6143848069 |
| Mailing Telephone | 6143848069 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1100212 | OH | Behavioral Health & Social Service Providers |
| Street Address |
2865 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43204-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980503 | Gary Robert Rutherford | Pharmacist | 2865 W Broad St, Columbus, OH 43204-2643 | 2005-05-24 |
| 1285109066 | Alyssa Kin | Social Worker | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-10-09 |
| 1427539303 | Mehri Davis | Counselor | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-08-28 |
| 1982199253 | Sandra Marie Quotson | Counselor | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-06-28 |
| 1588159347 | Alison Pence-ward | Social Worker | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-06-25 |
| 1437641370 | Eric Little | Counselor | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-06-06 |
| 1386131753 | Lea Araya | Social Worker | 2865 W Broad St, Columbus, OH 43204 | 2018-04-20 |
| 1700373347 | Mark Steven Ingram | Social Worker | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-04-19 |
| 1033615067 | Valerie Rasicci | Counselor | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-03-30 |
| 1306341763 | Sydney Marie Burks | Social Worker | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1770076192 | Morgan Elizabeth Garczyk | Optometrist | 2300 W Broad St Fl 2, Columbus, OH 43204 | 2018-06-11 |
| 1093240731 | Jerusha R Mcclendon | Social Worker | 3188 Mary Ave, Columbus, OH 43204 | 2017-05-01 |
| 1790235588 | American Senior Care Center LLC | Home Health | 3105 W Broad Street, Suite 2, Columbus, OH 43204 | 2016-10-05 |
| 1184082083 | Jordan Fontes | Nurse Practitioner | 2800 West Broad St, Columbus, OH 43204 | 2016-02-05 |
| 1073971248 | John R Sadaghiani | Dentist | 45 N. Wilson Rd, Columbus, OH 43204 | 2016-02-03 |
| 1245615806 | Brittany Muse | Occupational Therapist | 3615 Graybeck Drive, Columbus, OH 43204 | 2015-07-24 |
| 1528453842 | Sadaf Khan | Internal Medicine | 50 N Wilson Road, Columbus, OH 43204 | 2015-04-02 |
| 1053722629 | Kristen Basch | Pharmacist | 4248 Ongaro Dr, Columbus, OH 43204 | 2014-05-16 |
| Find all providers in zip 43204 | ||||
| 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 |
|---|---|---|---|---|
| 1336748268 | Megan Ferguson | Social Worker | 2516 Gardenia Dr, Columbus, OH 43235-5515 | 2020-10-21 |
| 1427664861 | Kelly Hellmuth | Social Worker | 49 W Henderson Rd, Columbus, OH 43214-2627 | 2020-09-21 |
| 1891308714 | Kassandra Hill | Social Worker | 8400 Veterans Pkwy Apt 1317, Columbus, GA 31909-2466 | 2020-08-29 |
| 1487265856 | Pamela Reid Seldon | Social Worker | 6242 Mill Branch Rd, Columbus, GA 31907-4430 | 2020-08-11 |
| 1205445145 | Mallorie E Davis | Social Worker | 1350 W 5th Ave Ste 112, Columbus, OH 43212-2907 | 2020-07-27 |
| 1245854223 | Jennifer Dirr | Social Worker | 3770 Tanager Dr, Columbus, OH 43230-1181 | 2020-06-04 |
| 1104446400 | Jared Bollenbacher | Social Worker | 467 Wilson Ave, Columbus, OH 43205-1944 | 2020-04-16 |
| 1093344681 | Nathanael William Russell | Social Worker | 9770 Big Hand Rd, Columbus, MI 48063-2913 | 2020-04-06 |
| 1194350488 | Sara Warren | Social Worker | 2664 Cranford Rd, Columbus, OH 43221-1108 | 2020-03-06 |
| 1285266445 | Mantra Mental Health, LLC | Social Worker | 3630 N High St Ste 203, Columbus, OH 43214-3652 | 2020-02-06 |
| Find all providers in COLUMBUS | ||||
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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.