IndividualActive
Holly Jedlicka, MSW, LISW-S
NPI 1033460480 · Clinical Social Worker · Pataskala, OH
Provider details
- NPI number
- 1033460480
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LISW-S
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1000061 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9800 Jug St Nw
Pataskala, OH 43062-8691
Phone: (614) 395-1395
Fax: (740) 927-1516
Street-level locationGet directions
Mailing address
Po Box 92
Kirkersville, OH 43033-0092
Registry dates
- Enumerated
- 2012-09-25
- Last updated
- 2012-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.