Individual provider Active NPI

Jessica Stroble, MSW, LSW

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1093324071
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2004628 Issued in OH
Practice address
830 N Summit St Ste 2
Toledo, OH 43604-1884
Phone
(419) 693-9600
NPI assigned
Jul 27, 2020
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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 S.2004628 OH Primary

Addresses

Primary practice location

830 N Summit St Ste 2
Toledo, OH 43604-1884

Mailing address

830 N Summit St Ste 2
Toledo, OH 43604-1884
Phone (419) 693-9600

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
I20260324003806 OH Practitioner - Clinical Social Worker 1850875196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Madison Ave
MSC S38805
Toledo, OH 43604-1516

2150 W Central Ave
Toledo, OH 43606-3834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2004628OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sound House Counseling LLC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1093324071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 N SUMMIT ST STE 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041884",
            "telephone_number": "419-693-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N SUMMIT ST STE 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041884",
            "telephone_number": "419-693-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROBLE",
        "first_name": "JESSICA",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2004628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.