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JACLYNN E ELLIS LISW-S
NPI 1174107270
Social Worker - Clinical in Youngstown, OH

Active since May 06, 2021PECOS EnrolledAccepts Medicare Assignment
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509(330) 797-0070(330) 797-9146 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Jul 27, 2023, May 25, 2021 and 1 more (4 updates tracked since 2021).

About Jaclynn E Ellis Lisw-s NPPES

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

JACLYNN E ELLIS LISW-S (NPI 1174107270) is an individual clinical provider in Youngstown, Ohio, licensed in Ohio (I.2304667-SUPV) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174107270
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACLYNN E ELLISCredential: LISW-S
Location Address527 N MERIDIAN RDYoungstown, OH 44509-1227
Mailing Address527 N Meridian RdYoungstown, OH 44509-1227 · (330) 797-0070 · Fax (330) 797-9146
Phone(330) 797-0070
Fax(330) 797-9146
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 6, 2021
Last NPPES UpdateSeptember 16, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1174107270 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.2304667-SUPV
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.
527 N MERIDIAN RD, Youngstown, OH 44509
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclynn E Ellis Lisw-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921460858
PECOS Enrollment IDI20230809002862
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 44509 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.

EVELYN C CLARK LPCC-S
Counselor (Professional)
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070
TYLER BOULTON
Community/Behavioral Health
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0074
ALEXIS S MCANDREW LPCC
Counselor (Professional)
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0074
ANTOINETTE FITZGERALD LPN
Licensed Practical Nurse
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070
KATALIN BACHA LPC
Counselor (Professional)
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0074
TARA L WARD RN
Registered Nurse
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070
LAUREN G HOLT LSW
Social Worker
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070
CHARIZMA M LEWIS LPN
Licensed Practical Nurse
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070

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 Jaclynn Ellis's NPI number?

The NPI number for Jaclynn Ellis is 1174107270. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Jaclynn Ellis located?

Jaclynn Ellis practices at 527 N Meridian Rd, Youngstown, OH 44509. The listed phone number is (330) 797-0070.

What is Jaclynn Ellis's specialty?

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

Is Jaclynn Ellis enrolled in Medicare?

Yes. Jaclynn Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaclynn Ellis accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 3 other insurers list Jaclynn Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclynn Ellis was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.