Active NPI
Christina Maria Smith, LSW
- Clinical Social Worker
- Toledo, OH
National Provider Identifier
1306402318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1802161
- Practice address
- 701 Jefferson Ave Ste 101
Toledo, OH 43604-6956 - Phone
- (419) 242-9955
- Fax
- (419) 242-8855
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 1802161 | OH | Primary |
Addresses
Primary practice location
701 Jefferson Ave Ste 101
Toledo, OH 43604-6956
Mailing address
701 Jefferson Ave Ste 101
Toledo, OH 43604-6956
Phone (419) 242-9955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1802161 | Other | OH | STATE OF OHIO COUNSELOR, SOCIAL WORKER & MARRIAGE AND FAMILY THERAPIST BOARD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1802161 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tasc of Northwest Ohio | Past | Accepting new patients | |
| Tasc of Northwest Ohio | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1548538143
-
- Case Management Agency
- Toledo, OH
- NPI 1922171677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1306402318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 JEFFERSON AVE STE 101",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436046956",
"telephone_number": "419-242-9955",
"fax_number": "419-242-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 JEFFERSON AVE STE 101",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436046956",
"telephone_number": "419-242-9955",
"fax_number": "419-242-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTINA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "1802161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OHIO COUNSELOR, SOCIAL WORKER & MARRIAGE AND FAMILY THERAPIST BOARD",
"identifier": "1802161",
"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 May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.