Individual provider Active NPI

Beth Kozsey, MSW, LISW-S

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1073040564
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I2507025 Issued in OH
Practice address
3450 W Central Ave Ste 351
Toledo, OH 43606-1491
Phone
(567) 200-2444
NPI assigned
May 16, 2017
Reactivated
Feb 6, 2018
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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 I2507025 OH Primary

Addresses

Primary practice location

3450 W Central Ave Ste 351
Toledo, OH 43606-1491

Mailing address

3450 W Central Ave Ste 351
Toledo, OH 43606-1491
Phone (567) 200-2444

Other names 1

  • Beth Incorvaia Former name

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

LicenseStateTypeSpecialty
I2507025OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Incorvaia LLC Clinical Current Accepting new patients

Locations

3950 Sunforest Ct
Ste 200
Toledo, OH 43623
Phone (419) 215-1226

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.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1073040564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W CENTRAL AVE STE 351",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061491",
            "telephone_number": "567-200-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W CENTRAL AVE STE 351",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061491",
            "telephone_number": "567-200-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZSEY",
        "first_name": "BETH",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "deactivation_date": "2017-10-25",
        "reactivation_date": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I2507025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "INCORVAIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 28, 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.

Verify at the official NPI Registry.