Mary Anne Mayle, LISWS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1201489-SUPV Issued in OH

Practice address

250 Manor Dr
Perrysburg, OH 43551-3118

Phone

(419) 874-0306

Fax

(419) 874-9295

NPI assigned

Feb 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Firelands Regional Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwalk, OH
  • NPI 1992756118
  NPD (past)

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

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1306186648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053583",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MANOR DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513118",
            "telephone_number": "419-874-0306",
            "fax_number": "419-874-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYLE",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LISWS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-24",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1201489-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0403719",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shalin Matthews
• Gretchen Matuszewski
• Janice Ruth Maxey, NP-C
• Elizabeth A Mayer, PA-C
• Ashley Mayes
• Tinorra Mays
• MBHC Inc
• Theresa Ann McCarthy-Acocks, ED.S.
• Maureen E McCarthy, PA-C
• Latonia McClendon

• Clinical Social Worker in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.