Active NPI
Thelonious Lorenza Heath, LISW-S
- Clinical Social Worker
- Toledo, OH
National Provider Identifier
1215179544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S.0600413
- Practice address
- 3333 Glendale Ave
Toledo, OH 43614-2426 - Phone
- (419) 259-2000
- Fax
- (419) 213-7631
- NPI assigned
- Apr 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0600413 | OH | |
| Clinical Social Worker | 1041C0700X | S.0600413 | OH | Primary |
Addresses
Primary practice location
3333 Glendale Ave
Toledo, OH 43614-2426
Mailing address
366 San Jose Dr
Toledo, OH 43615-6108
Phone (419) 320-3558
Other practice location 1
3170 W Central Ave
Toledo, OH 43606-2945
Phone (567) 316-7253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.0600413 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Only Solution, LLC | Social Worker | Current | Accepting new patients |
| Empowered for Excellence, Empowering Youth, LLC | 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 and National Provider Directory roles.
-
- Social Worker
- Toledo, OH
- NPI 1902669021
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1700457181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1215179544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 SAN JOSE DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436156108",
"telephone_number": "419-320-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 GLENDALE AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142426",
"telephone_number": "419-259-2000",
"fax_number": "419-213-7631"
}
],
"practiceLocations": [
{
"address_1": "3170 W Central Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436062945",
"country_code": "US",
"telephone_number": "567-316-7253",
"fax_number": "567-316-7232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEATH",
"first_name": "THELONIOUS",
"middle_name": "LORENZA",
"name_prefix": "Mr.",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-01",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0600413",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.0600413",
"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 Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.