JOSETTE LANDIS (MSW, LSW) – Social Worker, NPI 1093221673

JOSETTE LANDIS (MSW, LSW) is a healthcare provider. based in Youngstown, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LSW. They hold a License No. S0029456 (OH). The NPI Number for JOSETTE LANDIS (MSW, LSW) is 1093221673

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JOSETTE LANDIS (MSW, LSW)
NPI
1093221673
Phone
(330) 744-9020
Address
100 BROADWAY AVE
Enumeration Date
19 December 2017
Last Update Date
19 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307439275
Graduation Year
2016 (10 years ago)
PAC ID
3072858307
Group Practice PAC ID
4587620513
Professional Enrollment ID
I20181214001278
Address ID
OH445041752YO278XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for JOSETTE LANDIS (MSW, LSW)

  • Broadway, Wick Park Historic District, North Side, Youngstown, Mahoning County, Ohio, 44504, United States

    YOUNGSTOWN, OH 445052789

    Phone: (330) 744-9020

    Fax: (330) 743-9416

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181214001278IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44505)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587620513View full group profile
NameSpecialtyState
Mental Health CounselorOH
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH
-OH
P S Y C H I A T R YOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What is JOSETTE LANDIS (MSW, LSW)'s NPI number?
JOSETTE LANDIS (MSW, LSW)'s NPI is 1093221673 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JOSETTE LANDIS (MSW, LSW)?
You should see JOSETTE LANDIS (MSW, LSW) as active in CMS-hosted NPPES data.
What clinical focus is listed for JOSETTE LANDIS (MSW, LSW)?
At a glance, JOSETTE LANDIS (MSW, LSW) is tied to Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with JOSETTE LANDIS (MSW, LSW)?
Directory geography for JOSETTE LANDIS (MSW, LSW) centers on Youngstown, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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