Jessica S Datta
Clinical Social Worker
975 Commerce Dr
Perrysburg
, Ohio 43551-5228
Jessica S Datta
Clinical Social Worker
975 Commerce Dr
Perrysburg
, Ohio 43551-5228
(419) 874-9960
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Jessica S Datta
- 975 Commerce Dr
- Perrysburg, OH
- Zip : 43551-5228
- Fax : (419) 874-9960
- Phone : (419) 874-0274
Second Address
- Jessica S Datta
- 975 Commerce Dr
- Perrysburg, OH
- Zip : 43551-5228
- Fax : (419) 874-9960
- Phone : (419) 874-0274
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | S0027641 | OH |
National Provider Identifier
| NPI | 1003113150 |
|---|---|
| Provider Name | Jessica S Datta |
| First Address | Perrysburg, OH 43551-5228 |
| Second Address | Perrysburg, OH 43551-5228 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2011 |
| Last Update Date | 24/02/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.