Active NPI
Sarah Croak, LISW
- Clinical Social Worker
- Toledo, OH
National Provider Identifier
1336235787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0008016
- Practice address
- 3454 Oak Alley CT
Suite 410
Toledo, OH 43606-1306 - Phone
- (419) 537-0900
- Fax
- (419) 537-1300
- NPI assigned
- Oct 5, 2006
- 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 | 0008016 | OH | Primary |
Addresses
Primary practice location
3454 Oak Alley CT
Suite 410
Toledo, OH 43606-1306
Mailing address
3454 Oak Alley CT
Suite 410
Toledo, OH 43606-1306
Phone (419) 537-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 20, 2023 through Feb 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0008016 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336235787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3454 OAK ALLEY CT",
"address_2": "SUITE 410",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061306",
"telephone_number": "419-537-0900",
"fax_number": "419-537-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3454 OAK ALLEY CT",
"address_2": "SUITE 410",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061306",
"telephone_number": "419-537-0900",
"fax_number": "419-537-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROAK",
"first_name": "SARAH",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "0008016",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.