Jerry Ryan Hackley III, MSW, LSW

Social Worker · Seville, OH

Individual Active NPI

NPI number 1992289417

Practice location

269 Center St
Seville, OH 44273-8864
Phone
(330) 591-4648

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NPI record

NPI
1992289417
Entity type
Individual (Type 1)
Enumeration date
September 20, 2018
Last updated
May 22, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X S.1903598 OH

About Jerry Hackley

Jerry Ryan Hackley III, MSW, LSW is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 269 Center St, Seville, OH 44273-8864. The NPI number 1992289417 was assigned on September 20, 2018 and the record was last updated on May 22, 2019.

Jerry Hackley lists a license in the registry: #S.1903598 (OH) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry Ryan Hackley III, MSW, LSW?

The NPI number is 1992289417.

What is the phone number of Jerry Hackley?

The phone number listed for the practice location is (330) 591-4648.

Where is Jerry Hackley located?

269 Center St, Seville, OH 44273-8864.

What is the taxonomy code for Jerry Hackley?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.