Individual provider Active NPI

Courtney Leigh Howell, LSW, LMSW

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1396430765
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304651 Issued in OH
Practice address
3454 Oak Alley CT Ste 214
Toledo, OH 43606-1370
Phone
(419) 210-8868
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2304651 OH Primary

Addresses

Primary practice location

3454 Oak Alley CT Ste 214
Toledo, OH 43606-1370

Mailing address

402 W 3Rd St
Perrysburg, OH 43551-1417
Phone (419) 343-8962

Other names 1

  • Courtney Leigh Rudolph Former name

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
I20250221002714 OH Practitioner - Clinical Social Worker 1951821834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Room LLC Clinical CurrentSince Jan 2, 2025 Accepting new patients
Cassandra Reineck LLC Clinical PastSince May 21, 2023 Accepting new patients
Billi J Lopez Clinical Past Accepting new patients
Wildwood Counseling Services LLC Clinical PastSince Jun 24, 2024 Accepting new patients

Locations

5151 Monroe St
Ste 231H
Toledo, OH 43623
Phone (419) 210-8868

Organizations & group practices 4

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": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1396430765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W 3RD ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511417",
            "telephone_number": "419-343-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 214",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061370",
            "telephone_number": "419-210-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "COURTNEY",
        "middle_name": "LEIGH",
        "credential": "LSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "RUDOLPH",
            "middle_name": "LEIGH",
            "credential": "LSW, LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.