Active NPI
Tony Marvel Townsend, LSW
- Social Worker
- Massillon, OH
National Provider Identifier
1396208385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0028101
- Practice address
- 3545 Lincoln Way E Ste B
Massillon, OH 44646-8624 - Phone
- (513) 834-7063
- Fax
- (513) 873-1567
- NPI assigned
- Apr 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.163396 | OH | |
| Social Worker | 104100000X | S.0028101 | OH | Primary |
Addresses
Primary practice location
3545 Lincoln Way E Ste B
Massillon, OH 44646-8624
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1459
Phone (513) 834-7063
Other practice location 1
1660 Nave Rd SE
Massillon, OH 44646-9604
Phone (330) 837-9411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S.0028101 | Other | OH | LSW |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.163396 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.0028101 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1396208385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021459",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 LINCOLN WAY E STE B",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446468624",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
}
],
"practiceLocations": [
{
"address_1": "1660 Nave Rd SE",
"address_purpose": "LOCATION",
"city": "Massillon",
"state": "OH",
"postal_code": "446469604",
"country_code": "US",
"telephone_number": "330-837-9411",
"fax_number": "330-837-4603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOWNSEND",
"first_name": "TONY",
"middle_name": "MARVEL",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-08",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.163396",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0028101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LSW",
"identifier": "S.0028101",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.