Emily Michelle Bentley, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1903509 Issued in OH

Practice address

316 N Michigan St Ste 914
Toledo, OH 43604-5665

Phone

(419) 246-9405

NPI assigned

Apr 5, 2018

Last updated

Mar 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Emily Andregg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cornell Abraxas Group, LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Shelby, OH
  • NPI 1376518902
  NPD (past)
• Full Circle to Completion LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1114261682
  NPD (past)
• Full Circle to Completion LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1770017865
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1265938401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N MICHIGAN ST STE 914",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045665",
            "telephone_number": "419-246-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N MICHIGAN ST STE 914",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045665",
            "telephone_number": "419-246-9405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 State Route 39",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "OH",
            "postal_code": "448759466",
            "country_code": "US",
            "telephone_number": "419-747-3322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Executive Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "43302",
            "country_code": "US",
            "telephone_number": "740-387-5210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "EMILY",
        "middle_name": "MICHELLE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.165339",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1903509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273990",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ANDREGG",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa A Bennett, RN
• Paula Bennett
• Sarah Marie Bennett, APRN-CNP, FNP-C
• Terrill Bennett
• Cassandra Bensch, LPC
• Kimberly Bentley, ATC
• Paige Bentley, RN
• Shana Bentley, M.A., LPC
• Carlisa Benton
• Christina M Benton, LSW

• Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.