Mrs. Jacqueline Jean Pack
Mrs. Jacqueline Jean Pack is a Clinical Social Worker in Mount Vernon, Ohio. Qualified in 2012, 14 years ago. Practices with Revive Behavioral Health, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 14
- Licensed in
- OH
- In the registry since
- 2025
Practice location Address checks out
206 S Mulberry St Ste AMount Vernon, OH 43050-3331
Phone: (740) 326-9988
Fax: (740) 326-1175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence S.1302386 (OH) |
|---|
Record details
| NPI number | 1528954120 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2025 |
| Last updated in NPPES | June 18, 2025 |
| Certification date | June 18, 2025 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Revive Behavioral Health, Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mount Vernon
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Tami Mills, LSW
8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 · (740) 485-1067
-
Bobbie Kay Neff, LSW
106 E Gambier St, Mount Vernon, OH 43050-3510 · (740) 397-2660
-
Kimberly H Novak, LSW
213 E Chestnut St, Mount Vernon, OH 43050-3404 · (740) 326-9255
-
Dean R Owen, LICDC
8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 · (740) 522-8477
-
Amanda L Piteo, BSW
8402 Blackjack Rd, Mount Vernon, OH 43050-9193 · (740) 397-0442
-
Sean M. Ries
17606 Coshocton Rd, Mount Vernon, OH 43050-9218 · (740) 397-0533
-
Ashley A Shaw, LSW
8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 · (740) 522-8477
-
Makayla Shaw, LSW
809 Coshocton Ave Ste I, Mount Vernon, OH 43050-1900 · (866) 534-2639