Christina Marie Palidar

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2304918 Issued in OH

Practice address

615 Kingsbury St
Maumee, OH 43537-1865

Phone

(567) 218-0185

Fax

(419) 930-6721

NPI assigned

May 1, 2018

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Personal Growth Counseling Services LLCGroup PAC ID 1951776582, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Personal Growth Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toledo, OH
  • NPI 1023776028
  Medicare reassignment Care Compare group NPD
• Drescher and Associates Clinical Services, LLC

  • Psychologist
  • Maumee, OH
  • NPI 1558837294
  Medicare reassignment NPD
• Personal Growth Counseling Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
  • NPI 1801601984
  NPD
• Vaitkus Psychological Services LLC

  • Psychologist
  • Maumee, OH
  • NPI 1053853507
  NPD

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1043708415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 KINGSBURY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371865",
            "telephone_number": "567-218-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 KINGSBURY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371865",
            "telephone_number": "567-218-0185",
            "fax_number": "419-930-6721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3140 Dustin Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436164341",
            "country_code": "US",
            "telephone_number": "567-218-0185",
            "fax_number": "419-930-6721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALIDAR",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1802818",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C. Padgett, CRNA
• Logan Paduan, RN
• Ashley Paglia
• Pairadocs Consulting
• Chayanika Pal, M.D.
• Evangela Pallitta, LPN
• Sadie Francis Palmer-Wilcox
• Cody Palmer
• Karen Palmer, PTA
• Megan Palmer, NP-C

• Clinical Social Worker in Maumee, OH
• Providers in Maumee, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.