Individual provider Active NPI

Nicole Foley, MSW/LISW-S

  • Clinical Social Worker
  • Maumee, OH
National Provider Identifier
1265805055
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 1450393 Issued in OH
Practice address
111 Clinton St
Maumee, OH 43537-2811
Phone
(419) 740-3022
Fax
(419) 740-3033
NPI assigned
Nov 3, 2015
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 1450393 OH Primary

Addresses

Primary practice location

111 Clinton St
Maumee, OH 43537-2811

Mailing address

111 Clinton St
Maumee, OH 43537-2811
Phone (419) 740-3022

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
I20151125000629 OH Practitioner - Clinical Social Worker 6002116985 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 1450393OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Health LLC CurrentSince Feb 9, 2026 Accepting new patients
Talbot Clinical Services of Ohio LLC CurrentSince Apr 14, 2025 Accepting new patients
Vital Health LLC CurrentSince Feb 9, 2026 Accepting new patients
Unison Behavioral Health Group, Inc Past Accepting new patients
Beyond Behavioral Healthcare, LLC Past Accepting new patients
Unison Behavioral Health Group, Inc. Past Accepting new patients

Locations

111 Clinton St
Maumee, OH 43537
Phone (419) 740-3022

732 Main St
Toledo, OH 43605
Phone (419) 691-0600

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/beyondhc/r4/

Organizations & group practices 6

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1265805055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLINTON ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372811",
            "telephone_number": "419-740-3022",
            "fax_number": "419-740-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLINTON ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372811",
            "telephone_number": "419-740-3022",
            "fax_number": "419-740-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "NICOLE",
        "credential": "MSW/LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 1450393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.