Individual provider Active NPI

Sherry Gaffin McDonald, LISW-S

  • Clinical Social Worker
  • Perrysburg, OH
National Provider Identifier
1083942171
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0008526USPV Issued in OH
Practice address
1090 W South Boundary St
Suite 600
Perrysburg, OH 43551-5234
Phone
(419) 873-8280
Fax
(419) 873-8320
NPI assigned
Dec 1, 2009
Last updated
Jan 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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 I0008526USPV OH Primary

Addresses

Primary practice location

1090 W South Boundary St
Suite 600
Perrysburg, OH 43551-5234

Mailing address

1090 W South Boundary St
Suite 600
Perrysburg, OH 43551-5234
Phone (419) 873-8280

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
I20100823000218 OH Practitioner - Clinical Social Worker 5395879621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OhioguidestoneGroup PAC ID 5597910935, 60 clinicians

Practice addresses (Care Compare)

202 E Bagley Rd
Berea, OH 44017-2058
Phone (440) 234-2006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0008526USPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioguidestone CurrentSince Jul 1, 2021 Accepting new patients
Ohioguidestone CurrentSince Jul 1, 2021 Accepting new patients
Ohioguidestone Past Accepting new patients

Locations

202 E Bagley Rd
Berea, OH 44017
Phone (800) 234-2006

1624 Tiffin Ave
Ste D
Findlay, OH 45840
Phone (419) 422-7800

885 Commerce Dr
Perrysburg, OH 43551
Phone (419) 330-1050

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, 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": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1083942171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 W SOUTH BOUNDARY ST",
            "address_2": "SUITE 600",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515234",
            "telephone_number": "419-873-8280",
            "fax_number": "419-873-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 W SOUTH BOUNDARY ST",
            "address_2": "SUITE 600",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515234",
            "telephone_number": "419-873-8280",
            "fax_number": "419-873-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "SHERRY",
        "middle_name": "GAFFIN",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0008526USPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.