Individual provider Active NPI

Leslie Witherell, MSW, LISW

  • Clinical Social Worker
  • Maumee, OH
National Provider Identifier
1013967702
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 5445 Issued in OH
Practice address
1715 Indian Wood Cir Ste 200
Maumee, OH 43537-4055
Phone
(877) 906-9699
Fax
(888) 483-0118
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I 5445 OH Primary

Addresses

Primary practice location

1715 Indian Wood Cir Ste 200
Maumee, OH 43537-4055

Mailing address

2644 Meadowwood Dr
Toledo, OH 43606-3063
Phone (419) 367-8844

Other practice location 1

6800 W Central Ave
F1
Toledo, OH 43617-1135
Phone (419) 842-0860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 5445OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Witherell & Pittner, LTD. Clinical PastSince Mar 5, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1013967702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 MEADOWWOOD DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063063",
            "telephone_number": "419-367-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 INDIAN WOOD CIR STE 200",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374055",
            "telephone_number": "877-906-9699",
            "fax_number": "888-483-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 W Central Ave",
            "address_2": "F1",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436171135",
            "country_code": "US",
            "telephone_number": "419-842-0860",
            "fax_number": "419-842-0861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHERELL",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 5445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.