Individual provider Active NPI

Nancy Elzinga, LISW

  • Social Worker
  • Toledo, OH
National Provider Identifier
1356097703
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.0003303 Issued in OH
Practice address
1638 Broadway St
Toledo, OH 43609-3240
Phone
(567) 661-0565
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.0003303 OH Primary

Addresses

Primary practice location

1638 Broadway St
Toledo, OH 43609-3240

Mailing address

1638 Broadway St
Toledo, OH 43609-3240
Phone (567) 661-0565

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
I20220311001204 OH Practitioner - Clinical Social Worker 8123413069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0003303OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Health Toledo CurrentSince Apr 1, 2022 Accepting new patients
Compassion Health Toledo CurrentSince Apr 1, 2022 Accepting new patients

Locations

1638 Broadway St
Toledo, OH 43609
Phone (567) 661-0565

1055 Dorr St
Toledo, OH 43607
Phone (567) 661-0565

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.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1356097703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 BROADWAY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436093240",
            "telephone_number": "567-661-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 BROADWAY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436093240",
            "telephone_number": "567-661-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZINGA",
        "first_name": "NANCY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0003303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.