Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811476476 Individual Practitioner Female Practitioner

Jacquelyne J Bryner , LSW

Social Worker - Clinical • Mentor, OH

Professional Overview & Biography Verified Profile Summary

Jacquelyne Bryner, LSW is a certified Social Worker - Clinical practicing in Mentor, OH. With approximately 7 years of clinical experience since completing medical education in 2019, Jacquelyne Bryner delivers high-quality medical care to the local community at 7232 JUSTIN WAY.

Jacquelyne Bryner does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

7232 Justin Way

Mentor, OH 440604881

Telephone 4405788200
Associated Practice Facility / Clinic
🏢 Signature Health Inc. Facility NPI 1184170136

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Mentor, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -8.8 yrs vs City Avg
City Avg: 15.8 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
138 Specialists

Practicing in Mentor, OH (10077 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bryner (7 Years) 7 Yrs
Mentor Specialty Average (15.8 Years) 15.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-10-31
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OH S.1101110

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.

Social Worker

NUCC Taxonomy Code: 104100000X

State License OH S.1101110

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0307629 (OH)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Tiffany Jones , MD

Psychiatry & Neurology - Psychiatry

NPI 1003082413

Doctor of Medicine (M.D.)

Ashley Focht

Counselor

NPI 1003329079
Fatimaah Fullilove , LSW, LICDC

Social Worker - Clinical

NPI 1003329228

Licensed Social Worker, LICDC

NPI 1003420076

Licensed Professional Clinical Counselor

NPI 1003420738
Clotilda Raymond

Social Worker

NPI 1003436825

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 31, 2021

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

📍
Updated Business Mailing Address October 31, 2021

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

👤
Provider Name / Credentials Updated October 31, 2021

Recorded as JACQUELYNE BRYNER, LSW

NPI Profile Active August 14, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2018

Registered at 38882 MENTOR AVE, WILLOUGHBY, OH 440947875 (Tel: 4409539999)

📍
Updated Business Mailing Address August 14, 2018

Registered at 38882 MENTOR AVE, WILLOUGHBY, OH 440947875 (Tel: 4409539999)

👤
Provider Name / Credentials Updated August 14, 2018

Recorded as JACQUELYNE BRYNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2018

Social Worker (License #S.1101110 in OH)

🟢
Initial NPI Registration & Enumeration August 14, 2018

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: 1811476476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2018
Last Update: October 31, 2021
Sole Proprietor: Yes

Mailing Address

7232 Justin Way

Mentor, OH 440604881

Phone: 4405788200

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.