Active NPI
Dimensional Wellness LLC
- Clinical Social Worker
- Saint Marys, OH
National Provider Identifier
1083232417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DIMENSIONAL WELLNESS LLC
- Practice address
- 150 1/2 E Spring St RM 1
Saint Marys, OH 45885-2310 - Phone
- (419) 953-2159
- Fax
- (419) 595-4725
- NPI assigned
- Jul 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Kaitlynn Leotta Osborne, MSW, LISW-S
- Title
- Owner/Therapist
- Phone
- (419) 953-2159
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
150 1/2 E Spring St RM 1
Saint Marys, OH 45885-2310
Mailing address
PO Box 325
Saint Marys, OH 45885-0325
Phone (419) 953-2159
National Provider Directory
National Provider DirectoryLocations
150 12 E High St
Saint Marys, OH 45885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1083232417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 325",
"city": "SAINT MARYS",
"state": "OH",
"postal_code": "458850325",
"telephone_number": "419-953-2159",
"fax_number": "419-595-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 1/2 E SPRING ST RM 1",
"city": "SAINT MARYS",
"state": "OH",
"postal_code": "458852310",
"telephone_number": "419-953-2159",
"fax_number": "419-595-4725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIMENSIONAL WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-13",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "OSBORNE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "KAITLYNN LEOTTA",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "419-953-2159",
"authorized_official_credential": "MSW, LISW-S"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.