Active NPI
Amy Koziarski Lisw LLC
- Clinical Social Worker
- Sylvania, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 1000016
- Legal business name
- AMY KOZIARSKI LISW LLC
- Practice address
- 5800 Monroe St Ste H2
Sylvania, OH 43560-2260 - Phone
- (419) 343-7737
- NPI assigned
- Mar 29, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Amy Koziarski, LISW
- Title
- Owner
- Phone
- (419) 725-1203
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130801000896 | OH | Part B Supplier - Clinic/Group Practice | 2365683380 |
Receives reassigned benefits from 13 practitioners Practice locations: Sylvania, OH |
National Provider Directory
National Provider DirectoryLocations
6588 Secor Rd
Ste 11
Lambertville, MI 48144
Phone (419) 724-1500
134 W South Boundary St
Ste Bb
Perrysburg, OH 43551
5800 Monroe St
Ste H2
Sylvania, OH 43560
Phone (419) 343-7737
6000 Renaissance Pl
Ste D
Toledo, OH 43623
Phone (419) 725-1203
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I 1000016 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5800 Monroe St Ste H2
Sylvania, OH 43560-2260
Mailing address
5800 Monroe St Ste H2
Sylvania, OH 43560-2260
Phone (419) 343-7737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2022.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646697600000",
"number": "1255656773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 MONROE ST STE H2",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602260",
"telephone_number": "419-343-7737",
"fax_number": "567-249-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 MONROE ST STE H2",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602260",
"telephone_number": "419-343-7737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMY KOZIARSKI LISW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-29",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A",
"authorized_official_last_name": "KOZIARSKI",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-725-1203",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I 1000016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.