Jaclyn Tissue, LISW-S, LCDCIII
NPI 1821382557ActiveIndividual· Social Worker, Clinical· Canal Winchester, OH
Social Worker, Clinical (LISW-S, LCDCIII) in Canal Winchester, Ohio, licensed in OH, with an NPI issued in May 2011.
Overview
| NPI | 1821382557 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW-S, LCDCIII |
| Sole proprietor | No |
| NPI issued | May 28, 2011 |
| Last updated in NPPES | Apr 20, 2026 |
| Certified by provider | Apr 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I 1000146 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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