JEANETTE M PELTON (LISW-S) – Clinical Social Worker, NPI 1235233966

JEANETTE M PELTON (LISW-S) is a healthcare provider. based in Mount vernon, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. I0009770 (OH). The NPI Number for JEANETTE M PELTON (LISW-S) is 1235233966

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
JEANETTE M PELTON (LISW-S)
NPI
1235233966
Phone
(740) 392-3111
Address
217 E CHESTNUT ST UNIT A
Enumeration Date
12 September 2006
Last Update Date
14 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403923111
Graduation Year
2001 (25 years ago)
PAC ID
2466502463
Professional Enrollment ID
I20090612000533
Address ID
OH430503466MO217XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for JEANETTE M PELTON (LISW-S)

  • 217 E CHESTNUT ST UNIT A

    MOUNT VERNON, OH 430503466

    Phone: (740) 392-3111

    Fax: (740) 392-3182

    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: 2009-06-12

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
I20090612000533IClinical 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 43050)

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Reviews

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Frequently asked questions

How is JEANETTE M PELTON (LISW-S) identified in CMS data?
CMS-hosted NPPES data lists JEANETTE M PELTON (LISW-S) with NPI 1235233966.
Is JEANETTE M PELTON (LISW-S) still practicing?
JEANETTE M PELTON (LISW-S) is currently listed as active in the public NPI registry.
What taxonomy line describes JEANETTE M PELTON (LISW-S)?
For research purposes, treat JEANETTE M PELTON (LISW-S) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What area does JEANETTE M PELTON (LISW-S) serve?
JEANETTE M PELTON (LISW-S)'s listing highlights Mount Vernon, Ohio; more addresses can appear in NPPES.
Is the information about JEANETTE M PELTON (LISW-S) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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