SAMANTHA JECKERING
NPI 1841967486
Social Worker - Clinical in Fairborn, OH

Active since August 23, 2021
323 N BROAD ST, FAIRBORN, OH 45324(937) 318-8103(937) 400-2347 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Jeckering NPPES

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

SAMANTHA JECKERING (NPI 1841967486) is an individual clinical provider in Fairborn, Ohio and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1841967486
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA JECKERING
Location Address323 N BROAD STFairborn, OH 45324-4934
Mailing Address5879 Overbrooke RdCenterville, OH 45440-2333 · (937) 623-5204
Fax(937) 400-2347
Sole ProprietorYes
Enumeration DateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
NPI 1841967486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
323 N BROAD ST, Fairborn, OH 45324

Other Providers at the Same Location NPPES 14

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

Behavior Analyst
323 N BROAD ST
FAIRBORN, OH 45324
Psychiatry & Neurology (Psychiatry)
323 N BROAD ST
FAIRBORN, OH 45324
Counselor (Addiction (Substance Use Disorder))
323 N BROAD ST
FAIRBORN, OH 45324
Behavior Technician
323 N BROAD ST
FAIRBORN, OH 45324
Counselor (Addiction (Substance Use Disorder))
323 N BROAD ST
FAIRBORN, OH 45324
Nurse Practitioner (Psychiatric/Mental Health)
323 N BROAD ST
FAIRBORN, OH 45324
Community/Behavioral Health
323 N BROAD ST
FAIRBORN, OH 45324
Nurse Practitioner (Psychiatric/Mental Health)
323 N BROAD ST
FAIRBORN, OH 45324

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 Samantha Jeckering's NPI number?

The NPI number for Samantha Jeckering is 1841967486. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Samantha Jeckering located?

Samantha Jeckering practices at 323 N Broad St, Fairborn, OH 45324. The listed phone number is (937) 318-8103.

What is Samantha Jeckering'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 Samantha Jeckering was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.