Individual provider Active NPI

Keyana Renee Acheampong, LISW

  • Social Worker
  • Sylvania, OH
National Provider Identifier
1407375090
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1803013 Issued in OH
Practice address
5800 Monroe St Ste 2
Sylvania, OH 43560-2263
Phone
(419) 343-7737
NPI assigned
Sep 14, 2017
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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.1803013 OH Primary

Addresses

Primary practice location

5800 Monroe St Ste 2
Sylvania, OH 43560-2263

Mailing address

4600 McAuley PL Ste 600
Blue Ash, OH 45242-4778
Phone (419) 251-0707

Other practice location 1

2213 Cherry St Ste 2A
Toledo, OH 43608-2603
Phone (419) 251-0707

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
I20251226001776 OH Practitioner - Clinical Social Worker 8921594185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4600 McAuley PL
Suite 600
Blue Ash, OH 45242-4778

5800 Monroe St
Suite H2
Sylvania, OH 43560-2260

885 Penniman Ave
Unit 5425
Plymouth, MI 48170-7729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1803013OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Dec 18, 2025 Accepting new patients
Amy Koziarski Lisw LLC CurrentSince Feb 21, 2026 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Dec 18, 2025 Accepting new patients
Monica Jay, MSW, Lisw-S, LLC PastSince Feb 21, 2026 Accepting new patients

Locations

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

5800 Monroe St
Ste H2
Sylvania, OH 43560
Phone (419) 343-7737

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2213 Cherry St
Ste 2A
Toledo, OH 43608
Phone (419) 251-0707

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1407375090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MCAULEY PL STE 600",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424778",
            "telephone_number": "419-251-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST STE 2",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602263",
            "telephone_number": "419-343-7737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-0707",
            "fax_number": "419-251-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHEAMPONG",
        "first_name": "KEYANA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1803013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.