JILLIAN K WINKLEVOSS (MSW, LCSW) – Clinical Social Worker, NPI 1790276129

JILLIAN K WINKLEVOSS (MSW, LCSW) is a healthcare provider. based in Ashtabula, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. SW133876 (PA). The NPI Number for JILLIAN K WINKLEVOSS (MSW, LCSW) is 1790276129

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JILLIAN K WINKLEVOSS (MSW, LCSW)
NPI
1790276129
Phone
(440) 998-4210
Address
2801 C CT
Enumeration Date
22 May 2018
Last Update Date
28 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7249817141
Graduation Year
2011 (15 years ago)
PAC ID
8123405347
Group Practice PAC ID
7810981503
Professional Enrollment ID
I20220510000027
Address ID
PA161482727HE2201XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:8State licenses:3Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for JILLIAN K WINKLEVOSS (MSW, LCSW)

  • El Court, Ashtabula, Ashtabula County, Ohio, 44004, United States

    ASHTABULA, OH 440044577

    Phone: (440) 998-4210

    Type: Mailing

  • 2370 N Hermitage Rd

    Hermitage, PA 161486678

    Phone: (724) 654-9555

    Fax: (724) 498-0976

    Type: Location

  • 143 E WALLACE AVE

    NEW CASTLE, PA 161012453

    Phone: (724) 654-9555

    Fax: (724) 498-0976

    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: 2022-05-10

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
I20220510000027IClinical Social WorkerPATBD

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 44004)

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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: 7810981503View full group profile
NameSpecialtyState
P S Y C H I A T R YPA
Clinical Social WorkerPA
Mental Health CounselorPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What NPI should I save for JILLIAN K WINKLEVOSS (MSW, LCSW)?
Save NPI 1790276129 if you need a stable reference for JILLIAN K WINKLEVOSS (MSW, LCSW).
Is JILLIAN K WINKLEVOSS (MSW, LCSW) currently active in the NPI registry?
CMS-published data lists JILLIAN K WINKLEVOSS (MSW, LCSW) as an active registrant.
What kind of provider is JILLIAN K WINKLEVOSS (MSW, LCSW)?
The page reflects Clinical Social Worker for JILLIAN K WINKLEVOSS (MSW, LCSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for JILLIAN K WINKLEVOSS (MSW, LCSW)?
The page summarizes Ashtabula, Ohio for JILLIAN K WINKLEVOSS (MSW, LCSW); expand the address list for detail.
What if Ashtabula, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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