Individual provider · Type 1 NPI

Jaclyn Tissue, LISW-S, LCDCIII

Clinical Social Worker · Canal Winchester, OH

NPI number 1821382557 Active

Practice location

6767 Gender Rd
Canal Winchester, OH 43110-9046

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI 1000146 (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 1821382557

Jaclyn Tissue, LISW-S, LCDCIII's National Provider Identifier is 1821382557, issued on May 28, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canal Winchester, OH. The record was last updated on Apr 20, 2026.