Individual provider · Type 1 NPI

Jaclyn M. Scanlan, LISW

Clinical Social Worker · Moraine, OH

NPI number 1700028800 Active

Practice location

5350 Lamme Rd
Moraine, OH 45439-3215

Call (937) 534-4632 Map

Fax (937) 534-4609

Mailing address

1532 Little Falls Dr
Dayton, OH 45458-9707

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI0800313 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1700028800

Jaclyn M. Scanlan, LISW's National Provider Identifier is 1700028800, issued on Apr 3, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moraine, OH. The record was last updated on Sep 29, 2026.