Active NPI
Lydia McGillivray
- Social Worker
- Toledo, OH
National Provider Identifier
1902689219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2309470
- Practice address
- 4428 Secor Rd Ste 201
Toledo, OH 43623-4264 - Phone
- (419) 343-1484
- NPI assigned
- Aug 18, 2023
- Last updated
- May 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2309470 | OH | Primary |
Addresses
Primary practice location
4428 Secor Rd Ste 201
Toledo, OH 43623-4264
Mailing address
325 E Reed Ave
Bowling Green, OH 43402-2032
Other practice location 1
525 Metro Pl N Ste 300
Dublin, OH 43017-5320
Phone (855) 289-1722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2309470 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Behavioral Care LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1992312896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1902689219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 E REED AVE",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434022032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4428 SECOR RD STE 201",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234264",
"telephone_number": "419-343-1484"
}
],
"practiceLocations": [
{
"address_1": "525 Metro Pl N Ste 300",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430175320",
"country_code": "US",
"telephone_number": "855-289-1722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGILLIVRAY",
"first_name": "LYDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-18",
"last_updated": "2025-05-19",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2309470",
"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 May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.