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

Jordan Koegle, LISW

Individual provider Social Worker · NPI 1265077812

Jordan Koegle, LISW is a Social Worker in Groveport, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2019
Specialties on file
2
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

3964 Hamilton Square Blvd
Groveport, OH 43125-9119
Phone: (614) 610-1506
Fax: (614) 834-8694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 — (614) 362-1686

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I2102753 (OH)
Social Worker Taxonomy 104100000X · Licence S.1600951 (OH)

Record details

NPI number1265077812
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorYes
NPI enumeratedNovember 7, 2019
Last updated in NPPESJune 17, 2021
Certification dateJune 15, 2021
Mailing address3964 Hamilton Square Blvd, Groveport, OH 43125-9119

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