Beth Ann Wong I, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1200032 Issued in OH

Practice address

2211 River Rd
Maumee, OH 43537-3637

Phone

(419) 740-3052

Fax

(419) 893-0475

NPI assigned

Nov 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1861100273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 RIVER RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373637",
            "telephone_number": "419-740-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 RIVER RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373637",
            "telephone_number": "419-740-3052",
            "fax_number": "419-893-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1200032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@ironwoodcenter.com",
            "affiliation": "N",
            "endpointDescription": "credentialing@ironwoodcenter.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2211 River Rd",
            "city": "Maumee",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435373637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamie Wlosowicz
• Kristine Anne Wodarski, RN
• Brooke Woelfl, RBT
• Laura Stephanie Wolfe, CDCA
• Catherine Womack, NP
• Kimberly G Wopshall, P.T.
• Work Health LLC
• Iris Wright II
• WSSH Powerback Rehabilitation Services, LLC
• Timothy F Wynkoop, PHD

• Social Worker in Maumee, OH
• Providers in Maumee, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.