Active NPI
Celeste Susanne Luthi Fenwick, LISW
- Clinical Social Worker
- Bowling Green, OH
National Provider Identifier
1780936294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 1201242
- Practice address
- 1045 Klotz Rd
Bowling Green, OH 43402-4820 - Phone
- (419) 352-7588
- Fax
- (419) 354-4977
- NPI assigned
- Oct 8, 2012
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I 1201242 | OH | Primary |
Addresses
Primary practice location
1045 Klotz Rd
Bowling Green, OH 43402-4820
Mailing address
1045 Klotz Rd
P.O. Box 738
Bowling Green, OH 43402-4820
Phone (419) 352-7588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I 1201242 | Other | OH | LISW |
Other names 1
- Ms. Celeste Susanne Luthi
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
| License | State | Type | Specialty |
|---|---|---|---|
| I 1201242 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1780936294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 KLOTZ RD",
"address_2": "P.O. BOX 738",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434024820",
"telephone_number": "419-352-7588",
"fax_number": "419-354-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 KLOTZ RD",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434024820",
"telephone_number": "419-352-7588",
"fax_number": "419-354-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTHI FENWICK",
"first_name": "CELESTE",
"middle_name": "SUSANNE",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I 1201242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISW",
"identifier": "I 1201242",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CELESTE",
"last_name": "LUTHI",
"middle_name": "SUSANNE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.