Kelsey Anne Gruenhagen, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1101379 Issued in OH

Practice address

905 Nebraska Ave
Toledo, OH 43607-4222

Phone

(419) 841-7701

Fax

(419) 841-1691

NPI assigned

Aug 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760815344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ASHLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201703",
            "telephone_number": "419-841-7701",
            "fax_number": "419-841-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 NEBRASKA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436074222",
            "telephone_number": "419-841-7701",
            "fax_number": "419-841-1691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Arrowhead Trl",
            "address_purpose": "LOCATION",
            "city": "Wauseon",
            "state": "OH",
            "postal_code": "435671885",
            "country_code": "US",
            "telephone_number": "419-217-2634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUENHAGEN",
        "first_name": "KELSEY",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1101379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growth Health and Wellness
• GRT Performance LLC
• Blair P Grubb, M.D.
• Richard E. Grubb, RPH.
• Joshua Gruenbaum
• Katie Gruic, PHARMD
• Daniel Grum, M.D.
• Rebecca A Grunden, NP
• Joann Louise Gruner, R.D, L. D.
• Lynn G Grylls, CNM

• All providers in Toledo, OH
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.