Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn M Scanlan, LISW

Individual provider Clinical Social Worker · NPI 1700028800

Jaclyn M Scanlan, LISW is a Clinical Social Worker in Moraine, Ohio. Licensed in Ohio. Registered with an NPI since 2009.

Licensed in
OH
In the registry since
2009
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

5350 Lamme Rd
Moraine, OH 45439-3215
Phone: (937) 534-4632
Fax: (937) 534-4609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I0800313 (OH)

Record details

NPI number1700028800
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedApril 3, 2009
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing address1532 Little Falls Dr, Dayton, OH 45458-9707

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