Individual provider Active NPI

Olivia Dunbar, LISW-S

  • Clinical Social Worker
  • Maumee, OH
National Provider Identifier
1164915708
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1701672 Issued in OH
Practice address
1757 Indian Wood Cir
Maumee, OH 43537-4009
Phone
(866) 203-0308
NPI assigned
Jun 8, 2018
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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.1701672 OH Primary

Addresses

Primary practice location

1757 Indian Wood Cir
Maumee, OH 43537-4009

Mailing address

1757 Indian Wood Cir
Maumee, OH 43537-4009
Phone (567) 525-0118

Other identifiers 1

IdentifierTypeStateIssuer
81-3522511MedicaidOH

Other names 1

  • Olivia Ehret Former name

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
I20250508000399 OH Practitioner - Clinical Social Worker 1759808231 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talbot Clinical Services of Ohio LLCGroup PAC ID 9032422860, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

650 Park Ave W
Mansfield, OH 44906-3702
Phone (614) 599-3800

732 Main St
Toledo, OH 43605-2397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1701672OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talbot Clinical Services of Ohio LLC CurrentSince Apr 28, 2025 Accepting new patients
Talbot Clinical Services of Ohio LLC CurrentSince Apr 28, 2025 Accepting new patients
Talbot Clinical Services of Ohio LLC CurrentSince Apr 28, 2025 Accepting new patients
Midwest Detox Center LLC Past Accepting new patients
Midwest Detox Center LLC Past Accepting new patients
Valor Recovery Center of Youngstown LLC Past Accepting new patients
Midwest Recovery Center LLC Past Accepting new patients
Valor Recovery Center of Youngstown LLC Past Accepting new patients

Locations

732 Main St
Toledo, OH 43605
Phone (419) 691-0600

Organizations & group practices 9

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1164915708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 INDIAN WOOD CIR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374009",
            "telephone_number": "567-525-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 INDIAN WOOD CIR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374009",
            "telephone_number": "866-203-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "OLIVIA",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1701672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81-3522511",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "EHRET",
            "credential": "LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.