Individual provider Active NPI

Bridget Dewulf, LSW

  • Social Worker
  • Findlay, OH
National Provider Identifier
1366955072
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1701543 Issued in OH
Practice address
11745 Township Road 145
Findlay, OH 45840-1093
Phone
(419) 424-0832
Fax
(419) 424-3870
NPI assigned
Nov 16, 2017
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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 S.1701543 OH Primary

Addresses

Primary practice location

11745 Township Road 145
Findlay, OH 45840-1093

Mailing address

1100 Shawnee Rd
Lima, OH 45805-3529
Phone (419) 999-2010

Other identifiers 1

IdentifierTypeStateIssuer
1356601892MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.1701543OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1366955072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053529",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11745 TOWNSHIP ROAD 145",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401093",
            "telephone_number": "419-424-0832",
            "fax_number": "419-424-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWULF",
        "first_name": "BRIDGET",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1701543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356601892",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.