Wilfredo E Torres, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1700622 Issued in OH

Practice address

30 Northwest Avenue
Building a, Suite 120
Tallmadge, OH 44278

Phone

(330) 633-4187

NPI assigned

Aug 18, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1679721906
  NPD
• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1841943495
  NPD (past)

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477079739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15957 FIVE POINT RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519797",
            "telephone_number": "330-234-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTHWEST AVENUE",
            "address_2": "BUILDING A, SUITE 120",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "44278",
            "telephone_number": "330-633-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "WILFREDO",
        "middle_name": "E",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-18",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1700622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelcie Thompson, PA-C
• Courtney Timberlake, NP-C
• Ganga Ram Timsina
• Diana Tinker, SLP
• Marianne Tomei
• Stephanie D Traugott, COTA
• Faith Jean Ferrell Tucker, MSW, LISW
• Jana L Tucker
• Susan Rebecca Tucker, M.D.
• Nathaniel Turner

• Social Worker in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.