Individual provider Active NPI

Hallie Edgell, LSW

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1104321827
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1600989 Issued in OH
Practice address
1832 Adams St
Toledo, OH 43604-4428
Phone
(419) 720-9247
NPI assigned
Mar 26, 2018
Last updated
Mar 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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.1600989 OH Primary

Addresses

Primary practice location

1832 Adams St
Toledo, OH 43604-4428

Mailing address

1832 Adams St
Toledo, OH 43604-4428
Phone (419) 720-9247

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
I20230210000906 OH Practitioner - Clinical Social Worker 2860864204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monarch Grief CenterGroup PAC ID 1254795909, 5 clinicians

Practice addresses (Care Compare)

314 Louisiana Ave
Perrysburg, OH 43551-1461
Phone (567) 331-8601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1600989OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Grief Center CurrentSince Apr 21, 2025 Accepting new patients
Optum Behavioral Care of Ohio, Inc CurrentSince Apr 1, 2024 Accepting new patients
Optum Behavioral Care of Ohio, Inc. Clinical CurrentSince Apr 1, 2024 Accepting new patients
Optum Behavioral Care of Ohio, Inc Past Accepting new patients

Locations

4624 Sawmill Rd
Columbus, OH 43220
Phone (614) 238-0837

620 E Broad St
Ste 301
Columbus, OH 43215
Phone (614) 674-6076

314 Louisiana Ave
Perrysburg, OH 43551
Phone (567) 331-8601

4159 N Holland Sylvania Rd
Ste 205
Toledo, OH 43623
Phone (419) 277-0091

Interoperability endpoints

  • Direct secure messaging: hallie.edgell.1@28621.direct.athenahealth.com

Organizations & group practices 4

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1104321827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 ADAMS ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436044428",
            "telephone_number": "419-720-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 ADAMS ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436044428",
            "telephone_number": "419-720-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGELL",
        "first_name": "HALLIE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1600989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.