Individual provider Active NPI

Susan M Lane-Baldwin, LISW

  • Clinical Social Worker
  • Napoleon, OH
National Provider Identifier
1821245804
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
O.0007759 Issued in OH
Practice address
589 E Riverview Ave
Napoleon, OH 43545-1865
Phone
(419) 592-0500
Fax
(419) 592-0561
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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 O.0007759 OH Primary

Addresses

Primary practice location

589 E Riverview Ave
Napoleon, OH 43545-1865

Mailing address

1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone (419) 591-3872

Other identifiers 1

IdentifierTypeStateIssuer
I.0007759OtherLICENSE NUMBER

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
I20120702000350 OH Practitioner - Clinical Social Worker 4385809078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1012 Ralston Ave
Suite B
Defiance, OH 43512-1398
Phone (419) 591-8093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
O.0007759OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hopeful Beginnings LLC Clinical CurrentSince May 25, 2016 Accepting new patients
Harbor Clinical Past Accepting new patients

Locations

1012 Ralston Ave
Ste B
Defiance, OH 43512
Phone (419) 591-8093

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1821245804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E RIVERVIEW AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459805",
            "telephone_number": "419-591-3872",
            "fax_number": "419-591-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 E RIVERVIEW AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451865",
            "telephone_number": "419-592-0500",
            "fax_number": "419-592-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE-BALDWIN",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "O.0007759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "I.0007759",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleon, OH

Sources for this page

Verify at the official NPI Registry.