Active NPI
Premier Consulting Toledo LLC
- Clinical Social Worker
- Toledo, OH
National Provider Identifier
1659077121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PREMIER CONSULTING TOLEDO LLC
- Practice address
- 701 Jefferson Ave Ste 203
Toledo, OH 43604-6957 - Phone
- (707) 391-1752
- NPI assigned
- Feb 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shay Elletha Bankston, LISW
- Title
- Owner
- Phone
- (707) 391-1752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
701 Jefferson Ave Ste 203
Toledo, OH 43604-6957
Mailing address
2308 Robinwood Ave Apt 1
Toledo, OH 43620-1024
National Provider Directory
National Provider DirectoryLocations
626 Madison Ave
Ste 700
Toledo, OH 43604
701 Jefferson Ave
Ste 203
Toledo, OH 43604
Phone (707) 391-1752
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Toledo, OH
- NPI 1275250995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675641600000",
"number": "1659077121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 ROBINWOOD AVE APT 1",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436201024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 JEFFERSON AVE STE 203",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436046957",
"telephone_number": "707-391-1752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER CONSULTING TOLEDO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A",
"authorized_official_last_name": "BANKSTON",
"authorized_official_first_name": "SHAY",
"authorized_official_middle_name": "ELLETHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-391-1752",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.