JESSICA LAUREL BLACK (NPI# 1902403488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902403488 |
| Entity Type | Individual |
| Full Name | JESSICA LAUREL BLACK |
| Practice Address |
22001 Fairmount Blvd Cleveland OH 44118-4897 |
| Mailing Address |
83 Southwick Dr Bedford OH 44146-2620 |
| Practice Telephone | 2169322800 |
| Mailing Telephone | 3303910985 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311120 | Jessica Ellen Black | Nutritionist | 1239 Liberty St Apt 225, El Cerrito, CA 94530-2347 | 2020-09-22 |
| 1417580234 | Jessica Black | Technician | 640 May St, Harlan, KY 40831-1628 | 2020-02-20 |
| 1881244374 | Jessica G Black | Physical Medicine & Rehabilitation | 10300 Courthouse Rd, Chesterfield, VA 23832 | 2019-09-17 |
| 1851894547 | Jessica J Black | Psychologist | 225 Humphrey Rd Ste 4, Greensburg, PA 15601-4571 | 2018-03-09 |
| 1619482569 | Jessica Ann Black | Massage Therapist | 3161 E Palmer Wasilla Hwy Ste 1, Wasilla, AK 99654-7271 | 2017-12-13 |
| 1104187764 | Jessica Lauren Black | Dental Hygienist | 1413 Gold Buckle Ct, Redlands, CA 92374-2790 | 2012-05-30 |
| 1366676439 | Jessica Donze Black | Dietitian, Registered | 230 N Granada St, Arlington, VA 22203-1322 | 2009-05-05 |
| 1134305337 | Jessica K Black | Naturopath | 330 Se Baker St, Unit 3, Mcminnville, OR 97128-6038 | 2008-01-17 |
| 1336102607 | Jessica Anne Black | Occupational Therapist | 9302 N Meridian St Ste 190, Indianapolis, IN 46260-1818 | 2006-04-08 |
| 1619529500 | Jessica Dawn Black | Counselor | 1576 S 500 W, Suite 102, Bountiful, UT 84010 | 2019-07-11 |
| Street Address |
22001 FAIRMOUNT BLVD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44118-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225286 | Tiffany Wilson | Social Worker | 22001 Fairmount Blvd, Cleveland, OH 44118-4819 | 2020-11-04 |
| 1922606599 | Ian Bradley Gentile | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Cleveland, OH 44118-4819 | 2020-10-15 |
| 1356948616 | Brittani Katherine Mancini | Counselor | 22001 Fairmount Blvd, Cleveland, OH 44118-4819 | 2020-10-08 |
| 1306443593 | Katherine Ramcke | Social Worker | 22001 Fairmount Blvd, Cleveland, OH 44118-4819 | 2020-10-01 |
| 1003413253 | Kayla Gelb | Social Worker | 22001 Fairmount Blvd, Cleveland, OH 44118-4897 | 2020-10-01 |
| 1003422197 | Hannah Clasen | Counselor | 22001 Fairmount Blvd, Cleveland, OH 44118-4897 | 2020-09-23 |
| 1417563503 | Malia Anne Hughes | Student in an Organized Health Care Education/Training Program | 22001 Fairmount Blvd, Cleveland, OH 44118-4897 | 2020-09-23 |
| 1467068908 | Bhavana Katragadda | Social Worker | 22001 Fairmount Blvd, Cleveland, OH 44118-4897 | 2020-09-21 |
| 1427668532 | Nathelie D Wingard | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Cleveland, OH 44118-4819 | 2020-08-04 |
| 1033728704 | Nichole M Slick | Counselor | 22001 Fairmount Blvd, Cleveland, OH 44118-4819 | 2020-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606755 | Kathy Ann Miller | Case Manager/Care Coordinator | 296 Colony Ln Nw, Cleveland, TN 37312-6411 | 2020-10-14 |
| 1437766243 | Marie L Clay | Case Manager/Care Coordinator | 8200 Rosewood Ave # Up, Cleveland, OH 44105-6683 | 2020-09-25 |
| 1073123311 | King Malone IIi | Case Manager/Care Coordinator | 1193 E 172nd St, Cleveland, OH 44119-3153 | 2020-08-02 |
| 1750990727 | Reginald Bagley I | Case Manager/Care Coordinator | 2728 Euclid Ave Ste 4004th, Cleveland, OH 44115-2429 | 2020-07-27 |
| 1497364681 | James Gordon | Case Manager/Care Coordinator | 896 E 73rd St, Cleveland, OH 44103-1792 | 2020-07-24 |
| 1558988204 | Jamil Brooks | Case Manager/Care Coordinator | 23612 Mccann St, Cleveland, OH 44128-5250 | 2020-06-29 |
| 1629692801 | Theodore Williams Iv | Case Manager/Care Coordinator | 7271 Engle Rd Ste 207, Cleveland, OH 44130-8404 | 2020-06-03 |
| 1629690920 | Vincent Van Johnson | Case Manager/Care Coordinator | 17325 Euclid Ave Ste 4028, Cleveland, OH 44112-1270 | 2020-05-11 |
| 1932728508 | Janayia Thompson | Case Manager/Care Coordinator | 12395 Mccracken Rd # A-up, Cleveland, OH 44125-2967 | 2020-04-13 |
| 1942836309 | Shirley Tucker | Case Manager/Care Coordinator | 2728 Euclid Ave, Cleveland, OH 44115-2429 | 2020-03-18 |
| Find all providers in CLEVELAND | ||||
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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.