Individual provider Active NPI

Rebecca Jeanette Neeley, MSW, LISW

  • Clinical Social Worker
  • Sylvania, OH
National Provider Identifier
1073914586
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2405844 Issued in OH
Practice address
5800 Monroe St Ste 2
Sylvania, OH 43560-2263
Phone
(419) 343-7737
NPI assigned
Sep 16, 2014
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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 2405844 OH Primary

Addresses

Primary practice location

5800 Monroe St Ste 2
Sylvania, OH 43560-2263

Mailing address

5800 Monroe St Ste 2
Sylvania, OH 43560-2263
Phone (419) 343-7737

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
I20250821000661 OH Practitioner - Clinical Social Worker 3870093206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amy Koziarski Lisw LLCGroup PAC ID 2365683380, 10 clinicians

Practice addresses (Care Compare)

5800 Monroe St
Suite H2
Sylvania, OH 43560-2260
Phone (419) 343-7737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2405844OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Koziarski Lisw LLC Clinical CurrentSince Jun 7, 2025 Accepting new patients
Monica Jay, MSW, Lisw-S, LLC Clinical Past Accepting new patients
The Orenda Center for Wellness LLC PastSince May 1, 2022 Accepting new patients
Unison Behavioral Health Group, Inc Past Accepting new patients
The Orenda Center for Wellness LLC PastSince May 1, 2022 Accepting new patients
Tasc of Northwest Ohio Past Accepting new patients
Tasc of Northwest Ohio PastSince Jul 1, 2022 Accepting new patients
Unison Behavioral Health Group, Inc. Past Accepting new patients

Locations

5800 Monroe St
Ste H2
Sylvania, OH 43560
Phone (419) 343-7737

Organizations & group practices 8

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1073914586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST STE 2",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602263",
            "telephone_number": "419-343-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST STE 2",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602263",
            "telephone_number": "419-343-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELEY",
        "first_name": "REBECCA",
        "middle_name": "JEANETTE",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "2405844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.