Individual provider Active NPI

Sara Speelman

  • Clinical Social Worker
  • Sylvania, OH
National Provider Identifier
1225516214
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I2002144 Issued in OH
Practice address
4930 N Holland Sylvania Rd Ste a
Sylvania, OH 43560-2149
Phone
(419) 450-2347
Fax
(517) 813-6375
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1000709 OH
Clinical Social Worker 1041C0700X I2002144 OH Primary

Addresses

Primary practice location

4930 N Holland Sylvania Rd Ste a
Sylvania, OH 43560-2149

Mailing address

4635 Sheringham LN
Sylvania, OH 43560-2915
Phone (419) 450-2347

Other practice location 1

4159 N Holland Sylvania Rd Ste 205
Toledo, OH 43623-4801
Phone (419) 318-5286

Other identifiers 1

IdentifierTypeStateIssuer
0346112MedicaidOH

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
I20200505002392 OH Practitioner - Clinical Social Worker 5698106714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1000709OHMDSocial Worker
I2002144OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Reminders Therapy and Counseling Services LLC CurrentSince Mar 1, 2025 Accepting new patients
New Perspectives Counseling, LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

4930 N Holland Sylvania Rd
Ste A
Sylvania, OH 43560
Phone (419) 450-2347

3131 Executive Pkwy
Ste 205
Toledo, OH 43606
Phone (419) 460-0621

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1225516214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 SHERINGHAM LN",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602915",
            "telephone_number": "419-450-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 N HOLLAND SYLVANIA RD STE A",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602149",
            "telephone_number": "419-450-2347",
            "fax_number": "517-813-6375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4159 N Holland Sylvania Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234801",
            "country_code": "US",
            "telephone_number": "419-318-5286",
            "fax_number": "567-455-5910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEELMAN",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1000709",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I2002144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346112",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.