Active NPI
Mathew Joe Musgrave, MSSW, LISW-S
- Clinical Social Worker
- Toledo, OH
National Provider Identifier
1063658615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0007155-SUPV
- Practice address
- 2001 E Central Ave
Toledo, OH 43608-2241 - Phone
- (419) 726-7977
- Fax
- (419) 726-7157
- NPI assigned
- Jan 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.0007155-SUPV | OH | Primary |
Addresses
Primary practice location
2001 E Central Ave
Toledo, OH 43608-2241
Mailing address
12314 Township Road 152
Arlington, OH 45814-9766
Phone (419) 365-5418
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 |
|---|---|---|---|
| I.0007155-SUPV | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1063658615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12314 TOWNSHIP ROAD 152",
"city": "ARLINGTON",
"state": "OH",
"postal_code": "458149766",
"telephone_number": "419-365-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 E CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082241",
"telephone_number": "419-726-7977",
"fax_number": "419-726-7157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSGRAVE",
"first_name": "MATHEW",
"middle_name": "JOE",
"name_prefix": "Mr.",
"credential": "MSSW, LISW-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-05",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0007155-SUPV",
"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 Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.