KELLY A JANSON (LISW) – Social Worker, NPI 1205181971

KELLY A JANSON (LISW) is a healthcare provider. based in Cincinnati, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. S.30901031 (OH). The NPI Number for KELLY A JANSON (LISW) is 1205181971

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KELLY A JANSON (LISW)
NPI
1205181971
Phone
(513) 751-7747
Address
2600 VICTORY PKWY
Enumeration Date
19 July 2012
Last Update Date
6 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5139221660
Graduation Year
2010 (16 years ago)
PAC ID
5991031288
Group Practice PAC ID
1658304910
Professional Enrollment ID
I20190724002114
Address ID
OH452482363CI5520XAVEX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for KELLY A JANSON (LISW)

  • 2600 VICTORY PKWY

    CINCINNATI, OH 452061711

    Phone: (513) 751-7747

    Fax: (513) 751-0180

    Type: Mailing

  • 8735 CINCINNATI DAYTON RD

    WEST CHESTER, OH 450693136

    Phone: (513) 785-6900

    Fax: (513) 751-0180

    Type: Location

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: 2019-07-24

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
I20190724002114IClinical 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 45206)

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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: 1658304910View full group profile
NameSpecialtyState
Clinical Social WorkerOH
-OH
Clinical Social WorkerOH
-OH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Does KELLY A JANSON (LISW) have a public NPI I can cite?
Public records show KELLY A JANSON (LISW) under NPI 1205181971.
Quick check: is KELLY A JANSON (LISW) active?
Public NPPES data shows KELLY A JANSON (LISW) with an active NPI status right now.
What does the directory say KELLY A JANSON (LISW) does?
Insurance directories may phrase it differently, but here KELLY A JANSON (LISW) maps to Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to KELLY A JANSON (LISW)?
The directory associates KELLY A JANSON (LISW) with Cincinnati, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains KELLY A JANSON (LISW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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