JANELLE WOODBURN (MSW, LSW) – Clinical Social Worker, NPI 1184147191

JANELLE WOODBURN (MSW, LSW) is a healthcare provider. based in Newark, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LSW. The NPI Number for JANELLE WOODBURN (MSW, LSW) is 1184147191

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
JANELLE WOODBURN (MSW, LSW)
NPI
1184147191
Phone
(740) 349-7511
Address
15 N 3RD ST
Enumeration Date
21 July 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7405224263
Graduation Year
2016 (10 years ago)
PAC ID
8921436429
Group Practice PAC ID
7719258292
Professional Enrollment ID
I20200316002536
Address ID
OH430553939NE59XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for JANELLE WOODBURN (MSW, LSW)

  • 15, 3rd Street, University Heights, Roseville, Newark, Essex County, New Jersey, 07107, United States

    NEWARK, OH 430555550

    Phone: (740) 349-7511

    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: 2020-03-16

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
I20200316002536IClinical 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 43055)

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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: 7719258292View full group profile
NameSpecialtyState
Mental Health CounselorOH
Mental Health CounselorOH
Clinical Social WorkerOH
Nurse PractitionerOH
Clinical Social WorkerKY
-OH
Clinical Social WorkerOH
Nurse PractitionerOH
Clinical Social WorkerOH
-OH

Reviews

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Frequently asked questions

How is JANELLE WOODBURN (MSW, LSW) identified in CMS data?
CMS-hosted NPPES data lists JANELLE WOODBURN (MSW, LSW) with NPI 1184147191.
Is JANELLE WOODBURN (MSW, LSW) listed as active for patients and plans?
The listing shows JANELLE WOODBURN (MSW, LSW) as active in the NPI system.
What is JANELLE WOODBURN (MSW, LSW)'s primary classification?
Clinical Social Worker is the headline specialty for JANELLE WOODBURN (MSW, LSW) here. Clinical services aligned with this taxonomy classification.
Does JANELLE WOODBURN (MSW, LSW) list a practice location?
Patients near Newark, Ohio may find JANELLE WOODBURN (MSW, LSW) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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