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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: August 09, 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
Phone(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
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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.

MARLEE JILL COOK
Speech-Language Pathologist
6767 GENDER RD
CANAL WINCHESTER, OH 43110
Fairfield County (614) 920-2717
MADISON AMENT M.ED., CCC-SLP
Speech-Language Pathologist
6767 GENDER RD
CANAL WINCHESTER, OH 43110
Fairfield County (614) 920-2777
PATRICE HANING
Psychologist (School)
6767 GENDER RD
CANAL WINCHESTER, OH 43110
Fairfield County (614) 920-2755

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 Jaclyn Tissue's NPI number?

The NPI number for Jaclyn Tissue is 1821382557. It was assigned to this individual provider in the NPPES registry on May 28, 2011.

Where is Jaclyn Tissue located?

Jaclyn Tissue practices at 6767 Gender Rd, Canal Winchester, OH 43110. The listed phone number is (614) 920-2747.

What is Jaclyn Tissue's specialty?

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

When was this NPI record last updated?

The NPPES record for Jaclyn Tissue was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.