Individual provider Active NPI

Nicole Renee Deisher, LISW-S

  • Clinical Social Worker
  • Mansfield, OH
National Provider Identifier
1861872582
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1500558 Issued in OH
Practice address
1027 South Trimble Rd
Mansfield, OH 44906
Phone
(419) 774-6400
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Sports Physical Therapist 2251S0007X
Clinical Social Worker 1041C0700X I.1500558 OH Primary

Addresses

Primary practice location

1027 South Trimble Rd
Mansfield, OH 44906

Mailing address

144 Otterbein Dr
Lexington, OH 44904-9783
Phone (419) 612-8474

Other identifiers 1

IdentifierTypeStateIssuer
0211400MedicaidOH

Other names 1

  • Nicole Renee Fuhrhop Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170616001148 OH Practitioner - Clinical Social Worker 8123396066 Reassigns benefits to 1 organization
I20260316003646 IN Practitioner - Clinical Social Worker 8123396066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridges Community Services IncGroup PAC ID 4688010127, 5 clinicians

Practice addresses (Care Compare)

101 Westbrook Blvd
Upper Sandusky, OH 43351-9537
Phone (951) 290-7570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1500558OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Community Services Inc CurrentSince Oct 6, 2025 Accepting new patients
Bridges Community Services Inc Past Accepting new patients
Community Teaching Homes, Inc. Past Accepting new patients
Talbot Clinical Services of Ohio LLC Past Accepting new patients
Children'S Hospital Medical Center of Akron PastSince Sep 3, 2025 Accepting new patients
Talbot Clinical Services of Ohio LLC Past Accepting new patients

Locations

101 Westbrook Blvd
Upper Sandusky, OH 43351
Phone (419) 209-1100

116 E Spotswood Ave
Elkton, VA 22827

Organizations & group practices 6

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1861872582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 OTTERBEIN DR",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449049783",
            "telephone_number": "419-612-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 SOUTH TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44906",
            "telephone_number": "419-774-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEISHER",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1500558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FUHRHOP",
            "middle_name": "RENEE",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.