Individual provider Active NPI

Elizabeth Brashear, LISW-S

  • Clinical Social Worker
  • Perrysburg, OH
National Provider Identifier
1306635792
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009055 Issued in OH
Practice address
314 Louisiana Ave
Perrysburg, OH 43551-1461
Phone
(567) 331-8601
NPI assigned
May 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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.0009055 OH Primary

Addresses

Primary practice location

314 Louisiana Ave
Perrysburg, OH 43551-1461

Mailing address

314 Louisiana Ave
Perrysburg, OH 43551-1461
Phone (567) 331-8601

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
I20250609001305 OH Practitioner - Clinical Social Worker 2062922180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monarch Grief CenterGroup PAC ID 1254795909, 5 clinicians

Practice addresses (Care Compare)

314 Louisiana Ave
Perrysburg, OH 43551-1461
Phone (567) 331-8601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0009055OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Grief Center CurrentSince May 15, 2025 Accepting new patients

Locations

314 Louisiana Ave
Perrysburg, OH 43551
Phone (567) 331-8601

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.

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1306635792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 LOUISIANA AVE",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511461",
            "telephone_number": "567-331-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 LOUISIANA AVE",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511461",
            "telephone_number": "567-331-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASHEAR",
        "first_name": "ELIZABETH",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.