Individual provider Active NPI

Lora Spurling, LSW

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1609289818
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700417 Issued in OH
Practice address
4434 Secor Rd Ste 2
Toledo, OH 43623-4265
Phone
(419) 206-1192
Fax
(419) 407-5439
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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.1700417 OH Primary

Addresses

Primary practice location

4434 Secor Rd Ste 2
Toledo, OH 43623-4265

Mailing address

4434 Secor Rd Ste 2
Toledo, OH 43623-4265
Phone (419) 206-1192

Other identifiers 1

IdentifierTypeStateIssuer
0234583MedicaidOH

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
I20171116002737 OH Practitioner - Clinical Social Worker 8729344122 Practice locations: Toledo, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3335 Meijer Dr
Suite 450
Toledo, OH 43617-3122
Phone (419) 206-1192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1700417OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1609289818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 SECOR RD STE 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234265",
            "telephone_number": "419-206-1192",
            "fax_number": "419-407-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 SECOR RD STE 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234265",
            "telephone_number": "419-206-1192",
            "fax_number": "419-407-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLING",
        "first_name": "LORA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234583",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.