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ANTONIA JENSEN & ASSOCIATES LLC NPI 1093772733


NPI Information

NPI: 1093772733
Provider Name: ANTONIA JENSEN & ASSOCIATES, LLC

Doing Business As: AJA BEHAVIORAL

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1115-1 N SHOOP AVE
WAUSEON, OH
ZIP 43567
Phone: (419) 335-6122
Get Directions

ANTONIA JENSEN & ASSOCIATES, LLC is a clinical social worker in Wauseon, OH. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. ANTONIA JENSEN & ASSOCIATES, LLC NPI is 1093772733. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Aja Behavioral.

The provider's business location address is:

1115-1 N SHOOP AVE
WAUSEON, OH
ZIP 43567-857
Phone: (419) 335-6122
Fax: (419) 318-4157

The provider's authorized official is Antonia Gracia Grimolizzi-jensen .
The authorized official title is Owner and has the following contact phone number (419) 335-6122.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 7/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)I-7226OHIONo
2101YM0800XCounselorMental HealthI-7226OHIONo
3101YP2500XCounselorProfessionalI-7226OHIONo
41041C0700XSocial WorkerClinicalI-7226OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1282524354005OTHEROHIOMEDICAL MUTUAL
2000000371817OTHEROHIOANTHEM BC & BS
3716572000OTHEROHIOMAGELLAN HEALTH SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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