Provider Demographics
NPI:1427010891
Name:LINSER, JEFFREY G (LISW)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:G
Last Name:LINSER
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 SAINT MARYS RD
Mailing Address - Street 2:
Mailing Address - City:NASHPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43830-9472
Mailing Address - Country:US
Mailing Address - Phone:740-452-4082
Mailing Address - Fax:
Practice Address - Street 1:2845 BELL ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1720
Practice Address - Country:US
Practice Address - Phone:740-454-9766
Practice Address - Fax:740-588-6452
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI57261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2032245OtherCIGNA BH PIN
OH9071395OtherPRIVATE HLTHCARE PIN
OH142128OtherCOMPSYCH BH PIN
OH218915OtherTRICARE/MHN PIN
OHY453564OtherTHE HEALTH PLAN PIN
OH000000218883OtherANTHEM PIN
OH145601OtherMOUNT CARMEL PIN
OH6240771OtherUBH PIN
OH7206252OtherAETNA PIN
OHLISW30631Medicare PIN