Active NPI
Renee M. Groman, L.I.S.W.
- Clinical Social Worker
- Toledo, OH
National Provider Identifier
1164647186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 0009933
- Practice address
- 1075 Horace St
Toledo, OH 43606 - Phone
- (419) 407-8725
- Fax
- (419) 725-6111
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I 0009933 | OH | Primary |
Addresses
Primary practice location
1075 Horace St
Toledo, OH 43606
Mailing address
1075 Horace St
Toledo, OH 43606-4859
Phone (419) 407-8725
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241105000567 | OH | Order and Referring Only - Clinical Social Worker | 7315218393 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I 0009933 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood County Auditor | Past | Accepting new patients | |
| Wood County Auditor | Past | Accepting new patients |
Interoperability endpoints
- renee.groman.p1@direct.wcchwc.nextgenshare.com
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 and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Bowling Green, OH
- NPI 1255465019
-
- Federally Qualified Health Center (FQHC)
- Bowling Green, OH
- NPI 1750712782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1164647186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 HORACE ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436064859",
"telephone_number": "419-407-8725",
"fax_number": "419-725-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 HORACE ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43606",
"telephone_number": "419-407-8725",
"fax_number": "419-725-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROMAN",
"first_name": "RENEE",
"middle_name": "M.",
"credential": "L.I.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I 0009933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.