Individual provider Active NPI

Makenzie Danielle Ireland, LISW

  • Clinical Social Worker
  • Oregon, OH
National Provider Identifier
1053975565
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2507215 Issued in OH
Practice address
3140 Dustin Rd Ste 1
Oregon, OH 43616-4341
Phone
(567) 218-0185
Fax
(419) 930-6721
NPI assigned
Apr 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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.2507215 OH Primary

Addresses

Primary practice location

3140 Dustin Rd Ste 1
Oregon, OH 43616-4341

Mailing address

615 Kingsbury St
Maumee, OH 43537-1865
Phone (567) 218-0185

Other names 1

  • Makenzie Danielle Gingerich Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251105002853 OH Practitioner - Clinical Social Worker 1052801354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1638 Broadway St
Toledo, OH 43609-3240

615 Kingsbury St
Maumee, OH 43537-1865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2507215OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Drescher and Associates Clinical Services, LLC CurrentSince Oct 27, 2025 Accepting new patients
Vaitkus Psychological Services LLC CurrentSince Oct 27, 2025 Accepting new patients

Locations

615 Kingsbury St
Maumee, OH 43537
Phone (419) 270-2490

3140 Dustin Rd
Ste 1
Oregon, OH 43616
Phone (567) 218-0185

Organizations & group practices 3

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1053975565",
    "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",
            "fax_number": "419-930-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 DUSTIN RD STE 1",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164341",
            "telephone_number": "567-218-0185",
            "fax_number": "419-930-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "MAKENZIE",
        "middle_name": "DANIELLE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2507215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKENZIE",
            "last_name": "GINGERICH",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.