Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER ODESSA LACKNETT, MSW,LSW,LCDC III
Deactivated Sole ProprietorMRS. JENNIFER ODESSA LACKNETT, MSW,LSW,LCDC III is a Addiction (Substance Use Disorder) Counselor healthcare provider located in NEWARK, Ohio. NPI 1699296947 is deactivated in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · NEWARK, OH
This NPI has been deactivated.
The record was deactivated on March 19, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1699296947
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2017 (0.72602739726027 yrs)
- Last Updated
- Mar 17, 2024
- Deactivated
- Mar 19, 2018
- Licenses
-
S.2004927 (OH)LICDC.162436 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30 S 4TH STNEWARK, OH, 430555002Browse OH providers · Browse ZIP 43055
- Phone
- 6143346903
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in NEWARK, OH
| Name | Credential | NPI |
|---|---|---|
| TINA M HOLT | LICDC | 1730455106 |
| CYNTHIA E BRADFORD | LICDC | 1578821682 |
| ALBERT SIMS | CDCA | 1700228871 |
| DALE FRIEL | LICDC-CS | 1124438767 |
| MS. LORETTA KAYE SNOKE | LICDC | 1437512548 |
| PHILLIP CASBY | LICDC-CS, SAP | 1295199222 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.