Provider Demographics
NPI:1699892455
Name:SIVEY, JONI LYNN (MS, MSW, LSW)
Entity type:Individual
Prefix:MS
First Name:JONI
Middle Name:LYNN
Last Name:SIVEY
Suffix:
Gender:F
Credentials:MS, MSW, LSW
Other - Prefix:MS
Other - First Name:JONI
Other - Middle Name:LYNN
Other - Last Name:DEGRADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, MSW, LSW
Mailing Address - Street 1:4065 INDIANOLA AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3161
Mailing Address - Country:US
Mailing Address - Phone:614-715-6721
Mailing Address - Fax:
Practice Address - Street 1:700 BROOKSEDGE BLVD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2820
Practice Address - Country:US
Practice Address - Phone:614-882-9338
Practice Address - Fax:614-882-3401
Is Sole Proprietor?:No
Enumeration Date:2007-03-24
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.166938101YA0400X
OH101YM0800X
OHS.18022071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health