Individual provider Active NPI

Matthew David Rizzo, LISW-S

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1295976363
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0600104 Issued in OH
Practice address
1822 Cherry St
Toledo, OH 43608-2801
Phone
(419) 720-9247
Fax
(419) 720-0304
NPI assigned
Mar 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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.0600104 OH Primary

Addresses

Primary practice location

1822 Cherry St
Toledo, OH 43608-2801

Mailing address

1822 Cherry St
Toledo, OH 43608-2801
Phone (419) 720-9247

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
I20130107000005 OH Practitioner - Clinical Social Worker 3476705757 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0600104OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talbot Clinical Services of Ohio LLC CurrentSince Nov 3, 2021 Accepting new patients
Talbot Clinical Services of Ohio LLC CurrentSince Jun 21, 2022 Accepting new patients
Vital Health LLC CurrentSince Jun 30, 2025 Accepting new patients
Vital Health LLC CurrentSince Jun 30, 2025 Accepting new patients
Talbot Clinical Services of Ohio LLC CurrentSince Nov 3, 2021 Accepting new patients
Vital Health LLC Past Accepting new patients

Locations

114 Renick Ave
Chillicothe, OH 45601
Phone (740) 208-5144

420 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-0584

650 Park Ave W
Mansfield, OH 44906
Phone (419) 524-6882

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

5500 Ridge Rd
Ste 213
Parma, OH 44129
Phone (440) 886-2300

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

3100 W Central Ave
Ste 155
Toledo, OH 43606
Phone (419) 578-4110

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1295976363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082801",
            "telephone_number": "419-720-9247",
            "fax_number": "419-720-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082801",
            "telephone_number": "419-720-9247",
            "fax_number": "419-720-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0600104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.