Individual provider Active NPI

Mary Wesley, CNA, LISW-S, LMSW

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1457896946
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I2002056 Issued in OH
Practice address
2416 Robinwood Ave
Toledo, OH 43620-1025
Phone
(419) 318-7272
Fax
(419) 386-0984
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801106913 MI
Clinical Social Worker 1041C0700X I2002056 OH Primary

Addresses

Primary practice location

2416 Robinwood Ave
Toledo, OH 43620-1025

Mailing address

2416 Robinwood Ave
Toledo, OH 43620-1025
Phone (419) 318-7272

Other identifiers 3

IdentifierTypeStateIssuer
1790540946OtherOHGROUP NPI
0324862MedicaidOH
0328261MedicaidOH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106913MIMDClinical Social Worker
I2002056OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow of Hope Counseling LLC Clinical CurrentSince Feb 18, 2024 Accepting new patients
Rainbow of Hope Counseling LLC Clinical CurrentSince Feb 18, 2024 Accepting new patients
Anchored in Hope Counseling, LLC PastSince Jul 31, 2022 Accepting new patients

Organizations & group practices 3

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": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1457896946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 ROBINWOOD AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201025",
            "telephone_number": "419-318-7272",
            "fax_number": "419-386-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 ROBINWOOD AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201025",
            "telephone_number": "419-318-7272",
            "fax_number": "419-386-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "MARY",
        "credential": "CNA, LISW-S, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106913",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I2002056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1790540946",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0324862",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0328261",
            "state": "OH"
        }
    ],
    "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 Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.