Individual provider Active NPI

Tosha Sharee McGlothin, MSW

  • Social Worker
  • Fort Wayne, IN
National Provider Identifier
1669703922
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
99088833A Issued in IN
Practice address
7209 Engle Rd Ste 200
Fort Wayne, IN 46804
Phone
(260) 484-4600
Fax
(260) 484-4002
NPI assigned
Jan 26, 2010
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 99088833A IN Primary

Addresses

Primary practice location

7209 Engle Rd Ste 200
Fort Wayne, IN 46804

Mailing address

7209 Engle Rd Ste 200
Fort Wayne, IN 46804-2238
Phone (260) 484-4600

Other practice location 1

909 E State Blvd
Fort Wayne, IN 46805-3404
Phone (260) 481-2700

Other identifiers 1

IdentifierTypeStateIssuer
99088833AOtherINTEMP SOCIAL WORKER PERMIT

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
99088833AINMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1669703922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 ENGLE RD STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042238",
            "telephone_number": "260-484-4600",
            "fax_number": "260-484-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 ENGLE RD STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46804",
            "telephone_number": "260-484-4600",
            "fax_number": "260-484-4002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 E State Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468053404",
            "country_code": "US",
            "telephone_number": "260-481-2700",
            "fax_number": "260-481-2709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGLOTHIN",
        "first_name": "TOSHA",
        "middle_name": "SHAREE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "99088833A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMP SOCIAL WORKER PERMIT",
            "identifier": "99088833A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.