Professional Care Management Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

I4699 Issued in OH

Legal business name

PROFESSIONAL CARE MANAGEMENT INC

Practice address

720 Corey St
Maumee, OH 43537-3610

Phone

(419) 367-8835

Fax

(419) 893-3828

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Debra J Sorensen, MSW, LISW

Title

President

Phone

(419) 367-8835

Specialties & licenses 1

Addresses

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

• Debra J Roidl, MSW, LISW

  • Clinical Social Worker
  • Maumee, OH
  • NPI 1083638803
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366464240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COREY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373610",
            "telephone_number": "419-367-8835",
            "fax_number": "419-893-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 COREY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373610",
            "telephone_number": "419-367-8835",
            "fax_number": "419-893-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-367-8835",
        "authorized_official_credential": "MSW, LISW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "I4699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Powers, OTA
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• All providers in Maumee, OH
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.