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

Jaclyn Tissue, LISW-S, LCDCIII

Individual provider Clinical Social Worker · NPI 1821382557

Jaclyn Tissue, LISW-S, LCDCIII is a Clinical Social Worker in Canal Winchester, Ohio. Licensed in Ohio. Registered with an NPI since 2011.

Licensed in
OH
In the registry since
2011

Practice location Address checks out

6767 Gender Rd
Canal Winchester, OH 43110-9046
Phone: (614) 920-2747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I 1000146 (OH)

Record details

NPI number1821382557
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S , LCDCIII
Sole proprietorNo
NPI enumeratedMay 28, 2011
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Other providers in Canal Winchester