Individual provider Active NPI

Christina M Cavaliere, LISW

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1801234448
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1200987 Issued in OH
Practice address
2770 Centennial Rd
Toledo, OH 43617-1829
Phone
(419) 794-0567
Fax
(419) 794-0569
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1200987 OH Primary

Addresses

Primary practice location

2770 Centennial Rd
Toledo, OH 43617-1829

Mailing address

2770 Centennial Rd
Toledo, OH 43617-1829
Phone (419) 794-0567

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419002979 OH Practitioner - Clinical Social Worker 7113225467 Practice locations: Oregon, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

860 Ansonia St
Suite 13a
Oregon, OH 43616-3177
Phone (419) 320-7944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christina M. Cavaliere, Lisw, LLC Clinical CurrentSince May 1, 2018 Accepting new patients

Locations

860 Ansonia St
Ste 13A
Oregon, OH 43616
Phone (419) 320-7944

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1801234448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CENTENNIAL RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171829",
            "telephone_number": "419-794-0567",
            "fax_number": "419-794-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CENTENNIAL RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171829",
            "telephone_number": "419-794-0567",
            "fax_number": "419-794-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALIERE",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.