Active NPI
Shaunte Harris, REGISTER SOCIAL WORK
- Social Worker
- Toledo, OH
National Provider Identifier
1023509460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- W.2600529
- Practice address
- 5650 W Central Ave Ste B1
Toledo, OH 43615-1519 - Phone
- (419) 843-8006
- NPI assigned
- May 22, 2018
- Last updated
- Apr 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.173763 | OH | |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | CDCA.173763 | OH | |
| Social Worker | 104100000X | W.2600529 | OH | Primary |
Addresses
Primary practice location
5650 W Central Ave Ste B1
Toledo, OH 43615-1519
Mailing address
4429 Packard Rd
Toledo, OH 43612-1943
Phone (419) 973-2757
Other practice location 1
5650 W Central Ave Ste B1
Toledo, OH 43615-1519
Phone (419) 843-8006
Other practice location 2
6450 Weatherfield Ct
maumee, OH 43537
Phone (419) 360-9747
Other practice location 3
350 S Irwin
Holland, OH 43528
Phone (567) 703-9064
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.173763 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| W.2600529 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talbot Clinical Services of Ohio LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Toledo, OH
- NPI 1245635549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1023509460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4429 PACKARD RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436121943",
"telephone_number": "419-973-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 W CENTRAL AVE STE B1",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436151519",
"telephone_number": "419-843-8006"
}
],
"practiceLocations": [
{
"address_1": "5650 W Central Ave Ste B1",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436151519",
"country_code": "US",
"telephone_number": "419-843-8006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6450 Weatherfield Ct",
"address_purpose": "LOCATION",
"city": "maumee",
"state": "OH",
"postal_code": "43537",
"country_code": "US",
"telephone_number": "419-360-9747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 S Irwin",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "OH",
"postal_code": "43528",
"country_code": "US",
"telephone_number": "567-703-9064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "SHAUNTE",
"credential": "REGISTER SOCIAL WORK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.173763",
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": "OH",
"license": "CDCA.173763",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "W.2600529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.