Active NPI
Catalyst for Change
- Clinical Social Worker
- Toledo, OH
National Provider Identifier
1871180752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kesha Jackson, MSW, LSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Toledo, OH
- NPI 1528501491
-
- Social Worker
- Toledo, OH
- NPI 1255831590
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.