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JEFFREY VERNON LISW
NPI 1073471215
Social Worker - Clinical in Lima, OH

Active since January 15, 2026PECOS Enrolled
1100 SHAWNEE RD, LIMA, OH 45805(419) 999-2010 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 22, 2026, Jan 15, 2026 (2 updates tracked since 2026).

About Jeffrey Vernon Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY VERNON LISW (NPI 1073471215) is an individual clinical provider in Lima, Ohio, licensed in Ohio (I.0002804) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1979).

NPPES Registry Identity

NPI1073471215
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEFFREY VERNONCredential: LISW
Location Address1100 SHAWNEE RDLima, OH 45805-3529
Mailing Address1100 Shawnee RdLima, OH 45805-3529 · (419) 999-2010
Phone(419) 999-2010
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1979
Enumeration DateJanuary 15, 2026
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1073471215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.0002804
Definition

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.

1100 SHAWNEE RD, Lima, OH 45805
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Vernon Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355819558
PECOS Enrollment IDI20260506001696
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLE WHITE LSW
Social Worker
1100 SHAWNEE RD
LIMA, OH 45805
Allen County (419) 999-2010
TYLER GREEN
Physical Therapist
1100 SHAWNEE RD
LIMA, OH 45805
Allen County (419) 999-2010
PHCS, INC.
Non-emergency Medical Transport (VAN)
1100 SHAWNEE RD
LIMA, OH 45805
Allen County (419) 999-2010
MS. JOLENE BARRETT RDLD
Dietitian, Registered
1100 SHAWNEE RD
LIMA, OH 45805
Allen County (419) 999-2010
TIESHA RENEE NORRIS BS
Social Worker
1100 SHAWNEE RD
LIMA, OH 45805
Allen County (419) 999-2010
JULIE ANN HOOD LSW
Social Worker
1100 SHAWNEE RD
LIMA, OH 45805
Allen County (419) 999-2010
MRS. DIANE CAROL WINGER OT
Occupational Therapist
1100 SHAWNEE RD
LIMA, OH 45805
Allen County (419) 999-2010
DR. ZACHARY WILLIAM HUGHES DPT
Physical Therapist
1100 SHAWNEE RD
LIMA, OH 45805
Allen County (419) 999-2010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Vernon's NPI number?

The NPI number for Jeffrey Vernon is 1073471215. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Where is Jeffrey Vernon located?

Jeffrey Vernon practices at 1100 Shawnee Rd, Lima, OH 45805. The listed phone number is (419) 999-2010.

What is Jeffrey Vernon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeffrey Vernon enrolled in Medicare?

Yes. Jeffrey Vernon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Vernon was last updated on January 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.