Individual provider Active NPI

Kasey Charlotte O'Neal, MSW, LISW, ACHT

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1538717442
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203932 Issued in OH
Practice address
2735 N Holland Sylvania Rd
Toledo, OH 43615-1846
Phone
(419) 318-9840
NPI assigned
Sep 4, 2019
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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 I.2203932 OH Primary

Addresses

Primary practice location

2735 N Holland Sylvania Rd
Toledo, OH 43615-1846

Mailing address

12331 Waterstone LN Apt 723
Perrysburg, OH 43551-3046
Phone (419) 707-9792

Other practice location 1

2005 Ashland Ave
Toledo, OH 43620-1703
Phone (419) 841-7701

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
I20231027001270 OH Practitioner - Clinical Social Worker 3577919596 Practice locations: Toledo, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Toledo College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3454 Oak Alley CT
Suite 410
Toledo, OH 43606-1355
Phone (419) 318-9840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2203932OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kayco Therapy, LLC Clinical CurrentSince Apr 16, 2023 Accepting new patients

Locations

2735 N Holland Sylvania Rd
Toledo, OH 43615
Phone (419) 315-6422

2735 N Holland Sylvania Rd
Ste A1
Toledo, OH 43615
Phone (419) 315-6422

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, 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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1538717442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12331 WATERSTONE LN APT 723",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513046",
            "telephone_number": "419-707-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 N HOLLAND SYLVANIA RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151846",
            "telephone_number": "419-318-9840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436201703",
            "country_code": "US",
            "telephone_number": "419-841-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "KASEY",
        "middle_name": "CHARLOTTE",
        "credential": "MSW, LISW, ACHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.