Individual provider Active NPI

Morgan Stark

  • Social Worker
  • Toledo, OH
National Provider Identifier
1649029406
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2411701 Issued in OH
Practice address
5734 Douglas Rd
Toledo, OH 43613-2038
Phone
(419) 724-1500
NPI assigned
May 15, 2024
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2403521-TRNE OH
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X S.2411701 OH Primary

Addresses

Primary practice location

5734 Douglas Rd
Toledo, OH 43613-2038

Mailing address

5734 Douglas Rd
Toledo, OH 43613-2038
Phone (419) 724-1500

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.2403521-TRNEOHMDSocial Worker
S.2411701OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Peace of Mind Wellness LLC CurrentSince May 19, 2024 Accepting new patients
A Peace of Mind Wellness LLC CurrentSince May 19, 2024 Accepting new patients

Locations

5734 Douglas Rd
Toledo, OH 43613
Phone (419) 472-1500

Organizations & group practices 2

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": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1649029406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 DOUGLAS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436132038",
            "telephone_number": "419-724-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 DOUGLAS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436132038",
            "telephone_number": "419-724-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "MORGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2403521-TRNE",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2411701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 10, 2024; 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.