Individual provider Active NPI

Michelle Wahl Meehan, LISW-S

  • Social Worker
  • Perrysburg, OH
National Provider Identifier
1295546059
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.16000325 Issued in OH
Practice address
1620 Brigham Dr Ste 240
Perrysburg, OH 43551-7124
Phone
(419) 872-7700
Fax
(419) 874-0196
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.16000325 OH Primary

Addresses

Primary practice location

1620 Brigham Dr Ste 240
Perrysburg, OH 43551-7124

Mailing address

3247 Maeterlinck Ave
Toledo, OH 43614-3841
Phone (419) 261-2732

Other practice location 1

5700 Monroe St Unit 301
Sylvania, OH 43560-2737
Phone (419) 291-2121

Other practice location 2

660 Beaver Creek Cir Ste 100
Maumee, OH 43537-1746
Phone (419) 891-6221

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
I20250707001020 OH Practitioner - Clinical Social Worker 0345754065 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.16000325OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Apr 24, 2025 Accepting new patients
Promedica Central Physicians CurrentSince Apr 24, 2025 Accepting new patients

Locations

660 Beaver Creek Cir
Ste 100
Maumee, OH 43537
Phone (419) 891-6221

1620 Brigham Dr
Ste 240
Perrysburg, OH 43551
Phone (419) 872-7700

5700 Monroe St
Unit 301
Sylvania, OH 43560
Phone (419) 291-2121

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1295546059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 MAETERLINCK AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143841",
            "telephone_number": "419-261-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BRIGHAM DR STE 240",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517124",
            "telephone_number": "419-872-7700",
            "fax_number": "419-874-0196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Monroe St Unit 301",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602737",
            "country_code": "US",
            "telephone_number": "419-291-2121",
            "fax_number": "419-479-6017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 Beaver Creek Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371746",
            "country_code": "US",
            "telephone_number": "419-891-6221",
            "fax_number": "419-893-3394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "MICHELLE",
        "middle_name": "WAHL",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.16000325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.