JACLYN TISSUE LISW-S, LCDCIII
NPI 1821382557
Social Worker - Clinical in Canal Winchester, OH

Active since May 28, 2011
6767 GENDER RD, CANAL WINCHESTER, OH 43110(614) 920-2747 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jaclyn Tissue Lisw-s, Lcdciii NPPES

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

JACLYN TISSUE LISW-S, LCDCIII (NPI 1821382557) is an individual clinical provider in Canal Winchester, Ohio, licensed in Ohio (I 1000146) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1821382557
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACLYN TISSUECredential: LISW-S, LCDCIII
Location Address6767 GENDER RDCanal Winchester, OH 43110-9046
Mailing Address6767 Gender RdCanal Winchester, OH 43110-9046 · (614) 920-2747
Sole ProprietorNo
Enumeration DateMay 28, 2011
Last NPPES UpdateApril 20, 2026
NPPES CertifiedApril 20, 2026
NPI 1821382557 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 1000146
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.

6767 GENDER RD, Canal Winchester, OH 43110

Other Identifiers 1

Medicaid08258OH

Other Providers at the Same Location NPPES 3

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

Speech-Language Pathologist
6767 GENDER RD
CANAL WINCHESTER, OH 43110
Speech-Language Pathologist
6767 GENDER RD
CANAL WINCHESTER, OH 43110
Psychologist (School)
6767 GENDER RD
CANAL WINCHESTER, OH 43110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821382557, enumerated as an "individual" on May 28, 2011.

The provider is located at 6767 GENDER RD CANAL WINCHESTER, OH 43110 and the phone number is (614) 920-2747.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.