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Deactivated NPI 1710259387 Deactivated / Inactive NPI Female Practitioner

Jacklyn M Beloch , BSW

Social Worker • Dayton, OH

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacklyn Beloch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 30, 2012
NPI Deactivation Date June 07, 2023
Total Practice Duration ~11 Years of Practice (2012 – 2023)

Professional Overview & Biography Verified Profile Summary

Jacklyn Beloch, BSW was a registered Social Worker practicing in Dayton, OH. Throughout an active medical career spanning 11 years, Jacklyn Beloch provided care at the practice location at 601 S EDWIN C MOSES BLVD until profile deactivation on 2023-06-07.

Practice Location & Contact Primary Location

Practice Address

601 S Edwin C Moses Blvd
4th Floor, Nw Bldg

Dayton, OH 454173424

Telephone 9374966952
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
419 Specialists

Practicing in Dayton, OH (11526 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH S0028908

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Richard Doran , LSW

Social Worker - Clinical

NPI 1508256413

Licensed Social Worker

Pamela Woods

Case Manager/Care Coordinator

NPI 1598269458
NPI 1902169733
Dr. Wendy Winkleman , PhD

Psychologist - Clinical

NPI 1942242029

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated June 07, 2023

Record deactivated on June 07, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2023

Social Worker (License #S.0028908 in OH)

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Updated Practice Location August 04, 2020

Registered at 2640 SAINT CHARLES AVE, DAYTON, OH 454103147 (Tel: 5132213350)

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Updated Business Mailing Address August 04, 2020

Registered at 401 E MCMILLAN ST FL 4, CINCINNATI, OH 452061922 (Tel: 5132213350)

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Provider Name / Credentials Updated August 04, 2020

Recorded as JACKLYN BELOCH, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2020

Counselor (License #C.1100319 in OH)

NPI Profile Active January 30, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 30, 2012

Registered at 601 S EDWIN C MOSES BLVD, 4TH FLOOR, NW BLDG, DAYTON, OH 454173424 (Tel: 9374966952)

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Updated Business Mailing Address January 30, 2012

Registered at 601 S EDWIN C MOSES BLVD, 4TH FLOOR, NW BLDG, DAYTON, OH 454173424 (Tel: 9374966952)

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Provider Name / Credentials Updated January 30, 2012

Recorded as JACKLYN BELOCH, BSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2012

Social Worker (License #S0028908 in OH)

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Initial NPI Registration & Enumeration January 30, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710259387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2012
Last Update: January 30, 2012
Deactivation Date: June 07, 2023

Mailing Address

601 S Edwin C Moses Blvd, 4th Floor, Nw Bldg

Dayton, OH 454173424

Phone: 9374966952

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.