Organization Active NPI

House of Shalom Therapeutic Services, LLC

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1306768387
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOUSE OF SHALOM THERAPEUTIC SERVICES, LLC
Practice address
3950 Sunforest CT Ste 265
Toledo, OH 43623-4485
Phone
(419) 407-6092
Fax
(419) 839-2925
NPI assigned
Jul 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Levarine Graham, LISWNPI 1356900609
Title
Owner/Therapist
Phone
(419) 280-6059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3950 Sunforest CT Ste 265
Toledo, OH 43623-4485

Mailing address

22 Southard
Unit E
Toledo, OH 43604
Phone (419) 280-6059

National Provider Directory

National Provider Directory

Locations

3950 Sunforest Ct
Ste 265
Toledo, OH 43623

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1306768387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SOUTHARD",
            "address_2": "UNIT E",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43604",
            "telephone_number": "419-280-6059",
            "fax_number": "419-839-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 SUNFOREST CT STE 265",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234485",
            "telephone_number": "419-407-6092",
            "fax_number": "419-839-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF SHALOM THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LEVARINE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "419-280-6059",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 2026; 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.