JENNIFER A SHADIK LISW-SUPV
NPI 1962682872
Social Worker in Athens, OH
NPI Status: Active since November 08, 2007
- Individual
- Female
- Social Worker
- Accepts Insurance
- PECOS Enrolled
About JENNIFER SHADIK
This page provides the complete NPI Profile along with additional information for Jennifer Shadik, a provider established in Athens, Ohio with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1962682872 assigned on November 2007. The practitioner's primary taxonomy code is 104100000X with license number I.1700236-SUPV (OH). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1962682872
- Provider Name
- JENNIFER A SHADIK LISW-SUPV
- Other Name
- JENNIFER CLISSOLD LCSW
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9 KENNY DR ATHENS, OH 45701
- Location Phone
- (740) 773-4366
- Mailing Address
- PO BOX 188 CHILLICOTHE, OH 45601
- Mailing Phone
- (740) 773-4366
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-08-2007
- Last Update Date
- 01-25-2024
- Code Navigator
A social worker like Jennifer Shadik helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- I.1700236-SUPV
- License State
- OH
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Gold Elite Saver Plus (Select) - HMO
- Secure (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus (Select) - HMO
- Silver Simple Chronic Care CKM (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Simple HSA - HMO
- Gold Classic Standard - HMO
- Gold Elite - HMO
- Gold Elite Saver Plus - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes - HMO
- Silver Simple PCP Saver - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jennifer Shadik is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JENNIFER A SHADIK LISW-SUPV
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 6 | 8 | 2 | 8 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 12 | 8 | 4 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 2 + 8 + 4 + 8 + 1 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1962682872 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114158433 | CARLA EILEEN BOYLE OTR-L Individual | Occupational Therapist | 9 KENNY DR ATHENS, OH 45701 (740) 592-3091 |
| 1790242931 | KAYLA SOW QMHS Individual | Behavior Analyst | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1144763392 | JANE E MALLORN LISW Individual | Social Worker | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1770158479 | JENNIFER O ISIKO CT Individual | Counselor | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1427556661 | SAMANTHA CATANIA LPCC Individual | Counselor (Professional) | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1720708514 | MARIAH L STARLIN SWT Individual | Social Worker | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1902529118 | MORGAN A TRITIPO RN Individual | Registered Nurse (Psychiatric/Mental Health) | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1154897692 | ANNA TESKE LISW Individual | Social Worker | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1316657380 | CAMERON P LAGRAFF SWT Individual | Social Worker | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1932814290 | LAURA LIVELY PT Individual | Physical Therapist | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1538643499 | JENNIFER YODER RDN, LD, CT Individual | Counselor | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1346932100 | JAELYN S SAYERS QMHS Individual | Case Manager/Care Coordinator | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1801654504 | AMANDA D JACKS IECMH CONSULTANT Individual | Health Educator | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1700446978 | TAYLOR DOTSON QMHS Individual | Case Manager/Care Coordinator | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1871150300 | GABRIELLE E. MANKIN QMHS Individual | Case Manager/Care Coordinator | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1881420826 | KAYLEIGH M HUTCHINSON EL SERVICE COORD. Individual | Technician (Attendant Care Provider) | 9 KENNY DR ATHENS, OH 45701 (740) 589-5132 |
| 1871267591 | MADELINE R DESHAZER Individual | Student in an Organized Health Care Education/Training Program | 9 KENNY DR ATHENS, OH 45701 (913) 271-4884 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962682872, enumerated in the NPI registry as an "individual" on November 08, 2007
The provider is located at 9 Kenny Dr Athens, Oh 45701 and the phone number is (740) 773-4366
The provider's speciality is Social Worker with taxonomy code 104100000X
The provider might be accepting Accepts: CareSource, MedMutual, Molina Healthcare, Oscar. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on November 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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