Organization Active NPI

Sovereign Solutions, LLC

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1871029330
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOVEREIGN SOLUTIONS, LLC
Practice address
1455 S Byrne Rd Ste D
Toledo, OH 43614-2316
Phone
(419) 379-1779
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
India Latrise SpringsNPI 1306369053
Title
Executive Director
Phone
(419) 509-2915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1455 S Byrne Rd Ste D
Toledo, OH 43614-2316

Mailing address

PO Box 209
Dundee, MI 48131-0209

Other practice location 1

17510 Brewer Rd
Dundee, MI 48131-9678
Phone (419) 379-1779

National Provider Directory

National Provider Directory

Locations

3900 Sunforest Ct
Ste 148
Toledo, OH 43623
Phone (419) 472-0631

1455 S Byrne Rd
Ste D
Toledo, OH 43614
Phone (419) 379-1779

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1871029330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481310209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S BYRNE RD STE D",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142316",
            "telephone_number": "419-379-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17510 Brewer Rd",
            "address_purpose": "LOCATION",
            "city": "Dundee",
            "state": "MI",
            "postal_code": "481319678",
            "country_code": "US",
            "telephone_number": "419-379-1779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOVEREIGN SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "SPRINGS",
        "authorized_official_first_name": "INDIA",
        "authorized_official_middle_name": "LATRISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-509-2915"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.