Individual provider Active NPI

Christine McVay, LISW-S

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1235126673
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I9005. SUPV Issued in OH
Practice address
701 Jefferson Ave
Suite 301
Toledo, OH 43604-6955
Phone
(419) 244-5511
Fax
(419) 335-3462
NPI assigned
Sep 30, 2005
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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 I9005. SUPV OH Primary

Addresses

Primary practice location

701 Jefferson Ave
Suite 301
Toledo, OH 43604-6955

Mailing address

701 Jefferson Ave
Suite 301
Toledo, OH 43604-6955
Phone (419) 244-5511

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
I20190111002293 OH Practitioner - Clinical Social Worker 2062758055 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I9005. SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioguidestone CurrentSince Jul 1, 2021 Accepting new patients
Ohioguidestone CurrentSince Jul 1, 2021 Accepting new patients
Ohioguidestone Current Accepting new patients

Locations

202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327

434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327

1895 Oakwood Ave
Napoleon, OH 43545
Phone (419) 330-5122

600 Freedom Dr
Napoleon, OH 43545
Phone (419) 599-5416

885 Commerce Dr
Perrysburg, OH 43551
Phone (419) 330-1050

Organizations & group practices 3

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1235126673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 JEFFERSON AVE",
            "address_2": "SUITE 301",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436046955",
            "telephone_number": "419-244-5511",
            "fax_number": "419-335-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 JEFFERSON AVE",
            "address_2": "SUITE 301",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436046955",
            "telephone_number": "419-244-5511",
            "fax_number": "419-335-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVAY",
        "first_name": "CHRISTINE",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I9005. SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.