Active NPI
Paula Zaft Basch, MSW
- Clinical Social Worker
- Toledo, OH
National Provider Identifier
1275671216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-0005829
- Practice address
- 5965 Renaissance PL
Toledo, OH 43623-4709 - Phone
- (419) 882-5678
- Fax
- (419) 882-7446
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-0005829 | OH | Primary |
Addresses
Primary practice location
5965 Renaissance PL
Toledo, OH 43623-4709
Mailing address
5965 Renaissance PL
Toledo, OH 43623-4709
Phone (419) 882-5678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300487460005 | Other | OH | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-0005829 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perrysburg Therapy LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Perrysburg, OH
- NPI 1073054219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1275671216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5965 RENAISSANCE PL",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234709",
"telephone_number": "419-882-5678",
"fax_number": "419-882-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5965 RENAISSANCE PL",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234709",
"telephone_number": "419-882-5678",
"fax_number": "419-882-7446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASCH",
"first_name": "PAULA",
"middle_name": "ZAFT",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-0005829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "300487460005",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.