Individual provider Active NPI

Lynn M Ghesquire, MSW, LSW, LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Toledo, OH
National Provider Identifier
1578882023
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ICDC.081139 Issued in OH
Practice address
544 E Woodruff Ave
Toledo, OH 43604-5342
Phone
(419) 242-9577
Fax
(419) 936-7606
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ICDC.081139 OH Primary
Clinical Social Worker 1041C0700X I.1451338 OH

Addresses

Primary practice location

544 E Woodruff Ave
Toledo, OH 43604-5342

Mailing address

544 E Woodruff Ave
Toledo, OH 43604-5342
Phone (419) 242-9577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160406001220 OH Practitioner - Clinical Social Worker 2163720210 Reassigns benefits to 1 organization
I20240229004241 OH Practitioner - Clinical Social Worker 2163720210 Practice locations: Toledo, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1425 Starr Ave
Toledo, OH 43605-2456

544 E Woodruff Ave
Toledo, OH 43604-5342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ICDC.081139OHMDAddiction (Substance Use Disorder) Counselor
I.1451338OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unison Behavioral Health Group, Inc. CurrentSince Feb 20, 2016 Accepting new patients

Locations

1425 Starr Ave
Toledo, OH 43605
Phone (419) 259-4506

1212 Cherry St
Toledo, OH 43608
Phone (419) 243-6326

544 E Woodruff Ave
Toledo, OH 43604
Phone (419) 214-4673

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1578882023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 E WOODRUFF AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045342",
            "telephone_number": "419-242-9577",
            "fax_number": "419-936-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 E WOODRUFF AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045342",
            "telephone_number": "419-242-9577",
            "fax_number": "419-936-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHESQUIRE",
        "first_name": "LYNN",
        "middle_name": "M",
        "credential": "MSW, LSW, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC.081139",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1451338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.