Active NPI
Matthew Paul Zalecki, MSW, LISW
- Clinical Social Worker
- Maumee, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1600183
- Practice address
- 3521 Briarfield Blvd
Maumee, OH 43537-9387 - Phone
- (419) 794-7259
- Fax
- (419) 794-7261
- NPI assigned
- May 27, 2015
- Last updated
- Oct 9, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1600183 | OH | Primary |
Addresses
Primary practice location
3521 Briarfield Blvd
Maumee, OH 43537-9387
Mailing address
2200 Jefferson Ave FL 5
Toledo, OH 43604-7102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1425 Starr Ave
Toledo, OH 43605-2456
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1600183 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians-North LLC | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Unison Behavioral Health Group, Inc. | Current | Accepting new patients | |
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Unison Behavioral Health Group, Inc | Past | Accepting new patients |
Locations
20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973
3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259
1425 Starr Ave
Toledo, OH 43605
Phone (419) 214-4673
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
544 E Woodruff Ave
Toledo, OH 43604
Phone (419) 214-4673
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1952370561
-
dba Mercy Health - Perrysburg Podiatry
- Customized Equipment (DME)
- Perrysburg, OH
- NPI 1992358766
-
- Addiction (Substance Use Disorder) Counselor
- Toledo, OH
- NPI 1306105382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1770962441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE FL 5",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436047102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 BRIARFIELD BLVD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435379387",
"telephone_number": "419-794-7259",
"fax_number": "419-794-7261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALECKI",
"first_name": "MATTHEW",
"middle_name": "PAUL",
"credential": "MSW, LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-27",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1600183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.