Organization Active NPI

Lutheran Social Services of Northwestern Ohio

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1881773687
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LUTHERAN SOCIAL SERVICES OF NORTHWESTERN OHIO
Practice address
2149 Collingwood Blvd
Toledo, OH 43620-1652
Phone
(419) 243-9178
Fax
(419) 243-4450
NPI assigned
Nov 3, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Nancy Yunker, L.I.S.W., M.S.W.NPI 1053767632
Title
Ceo
Phone
(419) 243-9178

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Counselor 101YA0400X OH
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2149 Collingwood Blvd
Toledo, OH 43620-1652

Mailing address

2149 Collingwood Blvd
Toledo, OH 43620-1652
Phone (419) 243-9178

Other identifiers 1

IdentifierTypeStateIssuer
01345MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000632 OH Part B Supplier - Clinic/Group Practice 4587562533 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Archbold, OH; Findlay, OH; Fremont, OH; Lima, OH; Sylvania, OH; Tiffin, OH; Toledo, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Social Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

T793 State Route 66
Archbold, OH 43502
Phone (419) 267-5528

315 S College Dr
Bowling Green, OH 43402
Phone (419) 352-0702

1701 Tiffin Ave
Findlay, OH 45840
Phone (419) 422-7917

718 E Franklin St
Kenton, OH 43326
Phone (419) 675-2243

205 W Market St
Fl 5
Lima, OH 45801
Phone (419) 229-2222

529 S Elizabeth St
Lima, OH 45804
Phone (419) 221-0968

616 S Collett St
Lima, OH 45805
Phone (419) 879-6029

1011 Sandusky St
#1
Perrysburg, OH 43551
Phone (419) 872-9101

6735 Sylvania Ave
Sylvania, OH 43560
Phone (419) 517-7553

4543 Douglas Rd
Toledo, OH 43613
Phone (419) 475-3258

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881773687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 COLLINGWOOD BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201652",
            "telephone_number": "419-243-9178",
            "fax_number": "419-243-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 COLLINGWOOD BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201652",
            "telephone_number": "419-243-9178",
            "fax_number": "419-243-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF NORTHWESTERN OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YUNKER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-243-9178",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.I.S.W., M.S.W."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01345",
            "state": "OH"
        }
    ],
    "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.