Individual provider Active NPI

Nicholas Rybak

  • Clinical Social Worker
  • Sylvania, OH
National Provider Identifier
1407562630
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5800 Monroe St Ste H2
Sylvania, OH 43560-2260
Phone
(419) 343-7737
NPI assigned
Jan 31, 2023
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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 NU Primary

Addresses

Primary practice location

5800 Monroe St Ste H2
Sylvania, OH 43560-2260

Mailing address

5800 Monroe St Ste H2
Sylvania, OH 43560-2260

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
I20250911004280 OH Practitioner - Clinical Social Worker 2769985100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amy Koziarski Lisw LLCGroup PAC ID 2365683380, 10 clinicians

Practice addresses (Care Compare)

2213 Cherry St
Suite 200
Toledo, OH 43608-2603
Phone (419) 251-4283

5800 Monroe St
Suite H2
Sylvania, OH 43560-2260
Phone (419) 343-7737

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Aug 21, 2025 Accepting new patients
Amy Koziarski Lisw LLC Clinical CurrentSince Aug 1, 2025 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Aug 21, 2025 Accepting new patients
Monica Jay, MSW, Lisw-S, LLC Clinical PastSince Feb 8, 2023 Accepting new patients

Locations

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

2213 Cherry St
Ste 200
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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1407562630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST STE H2",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST STE H2",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602260",
            "telephone_number": "419-343-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBAK",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.