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Deactivated NPI 1083074983 Deactivated / Inactive NPI Male Practitioner

Jacob Lew Warszawski

Case Manager/Care Coordinator • Newark, OH

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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, Jacob Warszawski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 04, 2016
NPI Deactivation Date February 21, 2019
Total Practice Duration ~3 Years of Practice (2016 – 2019)

Professional Overview & Biography Verified Profile Summary

Jacob Warszawski was a registered Case Manager/Care Coordinator practicing in Newark, OH. Throughout an active medical career spanning 3 years, Jacob Warszawski provided care at the practice location at 68 W CHURCH ST until profile deactivation on 2019-02-21.

Practice Location & Contact Primary Location

Practice Address

68 W Church St

Newark, OH 430555050

Telephone 7402811777

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Newark, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
203 Specialists

Practicing in Newark, OH (35490 Statewide)

Telehealth Adoption Rate
0.0% 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Secondary Practice Locations

2858 Back Orrville Rd

Wooster, OH 44691

Phone: 3302643232

Practice Associates & Co-Workers

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

20 Associated Practitioners

PYSCHASSISTANT

Jessica Mitchell , MA, PC

Counselor - Professional

NPI 1033344163

Master of Arts, PC

NPI 1124597810

Master of Arts

Alexandra Seckel

Social Worker

NPI 1134832983
NPI 1184491797
NPI 1225538333

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

12 Historical Events
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Updated Practice Location March 07, 2019

Registered at 68 W CHURCH ST, NEWARK, OH 430555050 (Tel: 7402811777)

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Updated Business Mailing Address March 07, 2019

Registered at 68 W CHURCH ST, NEWARK, OH 430555050 (Tel: 7402811777)

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Provider Name / Credentials Updated March 07, 2019

Recorded as JACOB WARSZAWSKI

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NPI Profile Reactivated March 01, 2019

Record officially reactivated for active practice on March 01, 2019

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NPI Profile Deactivated February 21, 2019

Record deactivated on February 21, 2019

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Updated Practice Location December 07, 2018

Registered at 2858 BACK ORRVILLE RD, WOOSTER, OH 44691 (Tel: 3302643232)

NPI Profile Active March 04, 2016

NPI status registered as active in NPPES database

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Updated Practice Location March 04, 2016

Registered at 246 NORTHLAND DR STE 200A, MEDINA, OH 442563440 (Tel: 3307259195)

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Updated Business Mailing Address March 04, 2016

Registered at 246 NORTHLAND DR STE 200A, MEDINA, OH 442563440 (Tel: 3307259195)

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Provider Name / Credentials Updated March 04, 2016

Recorded as JACOB WARSZAWSKI, QMHS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2016

Behavior Analyst

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Initial NPI Registration & Enumeration March 04, 2016

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: 1083074983
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2016
Last Update: March 07, 2019
Deactivation Date: February 21, 2019
Sole Proprietor: No

Mailing Address

68 W Church St

Newark, OH 430555050

Phone: 7402811777

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.