Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366734279 Individual Practitioner Female Practitioner

Jamie Declercq , LISW-SUPV

Social Worker - Clinical • Lima, OH

Professional Overview & Biography Verified Profile Summary

Jamie Declercq, LISW-SUPV is a registered healthcare professional specializing in Social Worker - Clinical in Lima, OH. Practice services are available at 924 N CABLE RD under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

924 N Cable Rd

Lima, OH 458051704

Telephone 4199693125
Associated Practice Facility / Clinic
🏢 Hcf Of Bowling Green, Inc. Facility NPI 1265455521

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Lima, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.9 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
79 Specialists

Practicing in Lima, OH (10077 Statewide)

Telehealth Adoption Rate
5.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
347 67 $160.00 $103.63
90832 Psychotherapy, 30 minutes
296 71 $133.78 $51.70
90834 Psychotherapy, 45 minutes
84 41 $120.00 $69.01
90791 Psychiatric diagnostic evaluation
34 34 $160.00 $106.03

Medical Specialties & State Licenses

CMS Verified: 2024-03-17
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OH I0031486-SUPV

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0251480 (OH)

Secondary Practice Locations

399 E Main St

Columbus, OH 432155384

Phone: 6143558550

2535 Fort Amanda Rd

Lima, OH 45804

Phone: 4199992055

Practice Associates & Co-Workers

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

17 Associated Practitioners
Tori Stout

Peer Specialist

NPI 1083337539
Ashley Staley

Case Manager/Care Coordinator

NPI 1154063998
NPI 1285206706
Sullivan Doughty

Case Manager/Care Coordinator

NPI 1336805464
Kylie Jenkins

Peer Specialist

NPI 1376241232
Anyssa Manley

Case Manager/Care Coordinator

NPI 1386300481

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 17, 2024

Registered at 924 N CABLE RD, LIMA, OH 458051704 (Tel: 4199693125)

📍
Updated Practice Location July 10, 2019

Registered at 2535 FORT AMANDA RD, LIMA, OH 45804 (Tel: 4199992055)

📍
Updated Business Mailing Address July 10, 2019

Registered at 1100 SHAWNEE RD, LIMA, OH 458053583 (Tel: 4199993607)

NPI Profile Active May 11, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2011

Registered at 399 E MAIN ST, COLUMBUS, OH 432155384 (Tel: 6143558550)

📍
Updated Business Mailing Address May 11, 2011

Registered at PO BOX 715194, COLUMBUS, OH 432715194 (Tel: 6143558004)

👤
Provider Name / Credentials Updated May 11, 2011

Recorded as JAMIE DECLERCQ, LISW-SUPV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2011

Social Worker (License #I0031486-SUPV in OH)

🟢
Initial NPI Registration & Enumeration May 11, 2011

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: 1366734279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2011
Last Update: March 17, 2024
Sole Proprietor: No

Mailing Address

1100 Shawnee Rd

Lima, OH 458053583

Phone: 4199993607

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.