Individual provider · Type 1 NPI
Jaelynn Alexandra Shoup
Clinical Social Worker · Sandusky, OH
Practice location
310 E Boalt St Ste E
Sandusky, OH 44870-4144
Mailing address
13615 Riley Rd
Milan, OH 44846-9466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | S.2309873 (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 1972381473
Jaelynn Alexandra Shoup's National Provider Identifier is 1972381473, issued on Sep 18, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sandusky, OH. The record was last updated on Aug 14, 2026.