Provider Demographics
NPI:1285260653
Name:OAKLEY, JANE LOUISE (LSW)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:LOUISE
Last Name:OAKLEY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3791 W ST RT 63
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-9585
Mailing Address - Country:US
Mailing Address - Phone:513-409-9600
Mailing Address - Fax:
Practice Address - Street 1:3791 W ST RT 63
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-9585
Practice Address - Country:US
Practice Address - Phone:513-409-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHS.0020734OtherOHIO DEPARTMENT OF REHABILITATION AND CORRECTIONS