JESSICA SHAFFER LISW-S
NPI 1043669179
Social Worker - Clinical in Newark, OH
NPI Status: Active since June 09, 2016
Contact Information
15 N 3RD ST
SUITE 200
NEWARK, OH
ZIP 43055
Phone: (740) 349-7511
Fax: (740) 522-4263
- Individual
- Female
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About JESSICA SHAFFER
This page provides the complete NPI Profile along with additional information for Jessica Shaffer, a provider established in Newark, Ohio with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1043669179 assigned on June 2016. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1043669179
- Provider Name
- JESSICA SHAFFER LISW-S
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 15 N 3RD ST SUITE 200 NEWARK, OH 43055
- Location Phone
- (740) 349-7511
- Location Fax
- (740) 522-4263
- Mailing Address
- 15 N 3RD ST SUITE 200 NEWARK, OH 43055
- Mailing Phone
- (740) 349-7511
- Mailing Fax
- (740) 522-4263
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-09-2016
- Last Update Date
- 04-06-2022
- Code Navigator
A clinical social worker like Jessica Shaffer is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | I0900294 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Gold Elite Saver Plus (Select) - HMO
- Secure (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus (Select) - HMO
- Silver Simple Chronic Care CKM (Select) - HMO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Simple HSA - HMO
- Gold Classic Standard - HMO
- Gold Elite - HMO
- Gold Elite Saver Plus - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2892946 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Jessica Shaffer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 43055 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $0
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 6 | 6 | 9 | 1 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 12 | 6 | 18 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 2 + 6 + 1 + 8 + 1 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1043669179 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
LINDSEY M KRANER LPN
Licensed Practical Nurse
15 N 3RD ST
STE 300
NEWARK, OH
ZIP 43055
JENNIFER A GEIGER LISW-S
Social Worker
(Clinical)
15 N 3RD ST
STE 300
NEWARK, OH
ZIP 43055
ERIN RINEHART LSW
Social Worker
15 N 3RD ST
STE 300
NEWARK, OH
ZIP 43055
MS. ALISHA SIMS LISW
Social Worker
(Clinical)
15 N 3RD ST
3RD FLOOR
NEWARK, OH
ZIP 43055
HEATHER LONG RN
Registered Nurse
15 N 3RD ST
STE 300
NEWARK, OH
ZIP 43055
TRACY J OYLER LISW
Social Worker
(Clinical)
15 N 3RD ST
STE 300
NEWARK, OH
ZIP 43055
ANN J THOMAS-MACDONALD M ED, LSW
Social Worker
15 N 3RD ST
NEWARK, OH
ZIP 43055
COURTNEY MONTELL VI
Social Worker
15 N 3RD ST
NEWARK, OH
ZIP 43055
JESSICA MARIE GRAY
Social Worker
15 N 3RD ST
NEWARK, OH
ZIP 43055
BRIDGETT SMITH LSW
Social Worker
15 N 3RD ST
NEWARK, OH
ZIP 43055
AMY B HUFFER LPC
Counselor
(Professional)
15 N 3RD ST
NEWARK, OH
ZIP 43055
AMY ELIZABETH DAVIS LSW
Social Worker
15 N 3RD ST
NEWARK, OH
ZIP 43055
STELLA MAE PEGAN
Case Manager/Care Coordinator
15 N 3RD ST
NEWARK, OH
ZIP 43055
ANDREA SARGENT HUGHES
Social Worker
15 N 3RD ST
NEWARK, OH
ZIP 43055
PAULA BRUESCH LPN
Licensed Practical Nurse
15 N 3RD ST
NEWARK, OH
ZIP 43055
ROB HARE
Counselor
15 N 3RD ST
NEWARK, OH
ZIP 43055
MICHAEL DENNISE LEPLEY RN
Registered Nurse
15 N 3RD ST
NEWARK, OH
ZIP 43055
BAILEY MARIE NELSON
Social Worker
15 N 3RD ST
NEWARK, OH
ZIP 43055
JANELLE WOODBURN MSW, LSW
Social Worker
(Clinical)
15 N 3RD ST
NEWARK, OH
ZIP 43055
BELINDA VALEEN OLIVER BSW, LSW
Social Worker
15 N 3RD ST
NEWARK, OH
ZIP 43055
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043669179, enumerated as an "individual" on June 09, 2016.
The provider is located at 15 N 3RD ST SUITE 200 NEWARK, OH 43055 and the phone number is (740) 349-7511.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
The provider might be accepting Accepts: CareSource, MedMutual, Molina Healthcare, Oscar. Please consult your insurance carrier or call the provider to verify.
