Organization Active NPI

Catalyst for Change

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1871180752
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CATALYST FOR CHANGE
Practice address
5151 Monroe St Ste 200
Toledo, OH 43623-3466
Phone
(567) 455-1401
NPI assigned
Dec 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Kesha Jackson, MSW, LSWNPI 1528501491
Title
Social Worker/MH Clinician
Phone
(419) 807-8185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

5151 Monroe St Ste 200
Toledo, OH 43623-3466

Mailing address

6923 Heather Cove PL
Maumee, OH 43537-1062
Phone (419) 270-0521

Other practice location 1

3130 Executive Pkwy Ste 902
Toledo, OH 43606-5535
Phone (567) 455-1401

National Provider Directory

National Provider Directory

Locations

3130 Executive Pkwy
Ste 902
Toledo, OH 43606
Phone (567) 455-1401

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1871180752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 HEATHER COVE PL",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371062",
            "telephone_number": "419-270-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233466",
            "telephone_number": "567-455-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 Executive Pkwy Ste 902",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436065535",
            "country_code": "US",
            "telephone_number": "567-455-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CATALYST FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KESHA",
        "authorized_official_title_or_position": "SOCIAL WORKER/MH CLINICIAN",
        "authorized_official_telephone_number": "419-807-8185",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 12, 2021; 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.