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Jacob Thomas Spellis , MSW, LSW

Social Worker β€’ Maumee, OH

Active NPI 1033626015 Individual Practitioner Male Practitioner
Practice location in NPPES

111 Clinton St
Maumee, OH 435372811

Call 4197403022 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

111 Clinton St

Maumee, OH 435372811

Telephone 4197403022
Organization at the Same NPPES Address or Phone
Maumee Medical Partners Ltd Facility NPI 1275516528

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

NPI first issued

2017

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 Maumee and Ohio

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maumee

2.9% of these 35 clinicians have the CMS telehealth indicator.

8.6% of these 35 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: 2022-06-30
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S.1501034

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.

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.

1 listed
Latisha Lindley , APRN CNP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1487012613

Advanced Practice Registered Nurse - Certified Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location June 30, 2022

Registered at 111 CLINTON ST, MAUMEE, OH 435372811 (Tel: 4197403022)

πŸ“
Updated Business Mailing Address June 30, 2022

Registered at 111 CLINTON ST, MAUMEE, OH 435372811 (Tel: 4197403022)

βœ…
NPI Profile Active December 29, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 29, 2017

Registered at 3222 W CENTRAL AVE, TOLEDO, OH 436062929 (Tel: 5673167253)

πŸ“
Business Mailing Address (Initial Record) December 29, 2017

Registered at 3222 W CENTRAL AVE, TOLEDO, OH 436062929 (Tel: 5673167253)

πŸ‘€
Provider Name / Credentials (Initial Record) December 29, 2017

Recorded as JACOB SPELLIS, MSW, LSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2017

Social Worker (license number reported to NPPES: OH S.1501034)

🟒
Initial NPI Registration & Enumeration December 29, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033626015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2017
Last Update: June 30, 2022
Sole Proprietor: No

Mailing Address

111 Clinton St

Maumee, OH 435372811

Phone: 4197403022

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.