Active NPI
Luana Holub, LSW
- Social Worker
- Toledo, OH
National Provider Identifier
1407362825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1101218
- Practice address
- 5904 Gay St
Toledo, OH 43613-1132 - Phone
- (419) 706-6965
- NPI assigned
- Dec 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.2002463 | OH | |
| Social Worker | 104100000X | S.1101218 | OH | Primary |
Addresses
Primary practice location
5904 Gay St
Toledo, OH 43613-1132
Mailing address
3119 Glenn St
Toledo, OH 43613-1148
Phone (419) 706-6965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966
63 Federal St
Suite 15
Portland, ME 04101-4222
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1101218 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
63 Federal St
Portland, ME 04101
Phone (207) 560-0551
20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973
Organizations & group practices 1
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": "1513728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1407362825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 GLENN ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436131148",
"telephone_number": "419-706-6965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5904 GAY ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436131132",
"telephone_number": "419-706-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLUB",
"first_name": "LUANA",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-20",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2002463",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1101218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.