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Jacquelyn Welch , LSW

Social Worker β€’ Chardon, OH

Active NPI 1952156101 Individual Practitioner Female Practitioner
Practice location in NPPES

12557 Ravenwood Dr
Chardon, OH 440249009

Call 4402853568 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12557 Ravenwood Dr

Chardon, OH 440249009

Telephone 4402853568
Organization at the Same NPPES Address or Phone
Ravenwood Mental Health Center Facility NPI 1053345975

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chardon and Ohio

49 active clinicians are listed under Social Worker with a practice address in Chardon, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chardon

0% of these 49 clinicians have the CMS telehealth indicator.

0% of these 49 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-01
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S.2613956

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Laurie Bruening , CNP

Nurse Practitioner - Family

NPI 1457996043

Certified Nurse Practitioner

Elizabeth Doolittle , LSW

Social Worker - Clinical

NPI 1558878132

Licensed Social Worker

Tanya Fox , MSN, APRN PHMNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1376060467

Master of Science in Nursing, APRNPHMNPBC

Susan Gahr , LISW

Social Worker - Clinical

NPI 1659629574

Licensed Independent Social Worker

Audrey Heinen , LISW

Social Worker - Clinical

NPI 1548335102

Licensed Independent Social Worker

Alisa Nater Torres

Nurse Practitioner - Psychiatric/Mental Health

NPI 1245935493

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 01, 2026

Recorded as JACQUELYN WELCH, LSW

βœ…
NPI Profile Active April 22, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 22, 2024

Registered at 12557 RAVENWOOD DR, CHARDON, OH 440249009 (Tel: 4402853568)

πŸ“
Business Mailing Address (Initial Record) April 22, 2024

Registered at 12557 RAVENWOOD DR, CHARDON, OH 440249009 (Tel: 4402853568)

πŸ‘€
Provider Name / Credentials (Initial Record) April 22, 2024

Recorded as JACQUELYN WELCH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2024

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration April 22, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952156101
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2024
Last Update: June 01, 2026
Sole Proprietor: Yes

Mailing Address

12557 Ravenwood Dr

Chardon, OH 440249009

Phone: 4402853568

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.