Active NPI
Cynthia Connor Wagenhauser, LISW
- Social Worker
- Sylvania, OH
National Provider Identifier
1699813436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I0009674
- Practice address
- 5600 Monroe St
Sylvania, OH 43560-2731 - Phone
- (419) 885-1910
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I0009674 | OH | Primary |
Addresses
Primary practice location
5600 Monroe St
Sylvania, OH 43560-2731
Mailing address
5600 Monroe St
Sylvania, OH 43560-2731
Phone (419) 885-1910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11562337 | Other | CAQH |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep Roots Family Therapy | Current | Accepting new patients | |
| Family Service of NW Ohio | Past | Accepting new patients | |
| Family Service of Northwest Ohio | Past | Accepting new patients | |
| Elliott & Associates Inc | Past | Accepting new patients | |
| Family Service of Northwest Ohio | Past | Accepting new patients |
Locations
2600 N Reynolds Rd
Ste 101A
Toledo, OH 43615
Phone (888) 469-2178
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Toledo, OH
- NPI 1528865417
-
- Mental Health Counselor
- Sylvania, OH
- NPI 1710974035
-
dba Comprehensive Crisis Care
- Community/Behavioral Health Agency
- Napoleon, OH
- NPI 1346644705
-
- Case Management Agency
- Bryan, OH
- NPI 1902099989
-
- Case Management Agency
- Toledo, OH
- NPI 1750578530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1699813436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 MONROE ST",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602731",
"telephone_number": "419-885-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 MONROE ST",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602731",
"telephone_number": "419-885-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGENHAUSER",
"first_name": "CYNTHIA",
"middle_name": "CONNOR",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I0009674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11562337",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.