Individual provider Active NPI

Brittney S Portala, MSW, LISW

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1235757501
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2406034 Issued in OH
Practice address
3450 W Central Ave Ste 122
Toledo, OH 43606-1421
Phone
(419) 210-3660
Fax
(734) 344-7432
NPI assigned
Jul 13, 2020
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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 I.2406034 OH Primary

Addresses

Primary practice location

3450 W Central Ave Ste 122
Toledo, OH 43606-1421

Mailing address

10715 Pardee Rd
Taylor, MI 48180-3530
Phone (734) 344-7432

Other identifiers 1

IdentifierTypeStateIssuer
0410596MedicaidOH

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
I20250107002701 OH Practitioner - Clinical Social Worker 5597293381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored in Hope Counseling, LLC CurrentSince Dec 1, 2024 Accepting new patients
Make Your Turn LLC Clinical CurrentSince Jun 30, 2024 Accepting new patients

Locations

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

3450 W Central Ave
Ste 122
Toledo, OH 43606
Phone (419) 210-3660

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1235757501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 PARDEE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803530",
            "telephone_number": "734-344-7432",
            "fax_number": "734-344-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W CENTRAL AVE STE 122",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061421",
            "telephone_number": "419-210-3660",
            "fax_number": "734-344-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTALA",
        "first_name": "BRITTNEY",
        "middle_name": "S",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2406034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410596",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.