Individual provider Active NPI

Tasha Brandt, MSW, LSW

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1609593979
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2207952 Issued in OH
Practice address
3454 Oak Alley CT
Toledo, OH 43606-1306
Phone
(419) 405-1000
NPI assigned
Oct 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 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 S.2207952 OH Primary

Addresses

Primary practice location

3454 Oak Alley CT
Toledo, OH 43606-1306

Mailing address

3394 W 157TH St
Cleveland, OH 44111-2060
Phone (216) 544-4718

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TherapistTasha@gmailcom Billi J Lopez

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.2207952OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1609593979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3394 W 157TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112060",
            "telephone_number": "216-544-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061306",
            "telephone_number": "419-405-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "TASHA",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2207952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapistTasha@gmailcom",
            "affiliation": "Y",
            "affiliationName": "Billi J Lopez",
            "address_1": "3454 Oak Alley Ct",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436061306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 26, 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.