Individual provider Active NPI

Tonya Camden, LISW-S

  • Clinical Social Worker
  • Lima, OH
National Provider Identifier
1932629441
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700464 Issued in OH
Practice address
1100 Shawnee Rd
Lima, OH 45805-3529
Phone
(419) 999-2010
Fax
(419) 999-6284
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.07000028 OH
Case Manager/Care Coordinator 171M00000X I.1700464 OH
Clinical Social Worker 1041C0700X I.1700464 OH Primary

Addresses

Primary practice location

1100 Shawnee Rd
Lima, OH 45805-3529

Mailing address

1100 Shawnee Rd
Lima, OH 45805-3583
Phone (419) 999-2010

Other practice location 1

28555 Starbright Blvd
Perrysburg, OH 43551-5662
Phone (614) 436-7837

Other practice location 2

315 S College Dr
Bowling Green, OH 43402-4001
Phone (419) 352-0702

Other practice location 3

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

Other identifiers 1

IdentifierTypeStateIssuer
0236267MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200519002583 OH Practitioner - Clinical Social Worker 6507130622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
I Am Boundless IncGroup PAC ID 9931596103, 17 clinicians

Practice addresses (Care Compare)

445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone 61484438002224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.07000028OHMDSocial Worker
I.1700464OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Care, Inc. CurrentSince May 18, 2023 Accepting new patients
Boundless Health, Inc. CurrentSince Sep 4, 2021 Accepting new patients
Encompass Care, Inc. CurrentSince May 18, 2023 Accepting new patients
Boundless Health, Inc. Current Accepting new patients
I Am Boundless, Inc. CurrentSince Aug 1, 2023 Accepting new patients
I Am Boundless, Inc CurrentSince Aug 1, 2023 Accepting new patients

Locations

1100 Shawnee Rd
Lima, OH 45805
Phone (419) 234-9494

28555 Starbright Blvd
Rossford, OH 43551
Phone (419) 578-7551

445 E Dublin Granville Rd
Ste H
Worthington, OH 43085

445 E Granville Rd
Ste G
Worthington, OH 43085
Phone 61484438002224

445 E Dublin Granville Rd
Worthington, OH 43085
Phone (614) 844-3100

Interoperability endpoints

  • Direct secure messaging: tonya.camden.p1@direct.iamboundless.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1932629441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053583",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053529",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28555 Starbright Blvd",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435515662",
            "country_code": "US",
            "telephone_number": "614-436-7837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 S College Dr",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434024001",
            "country_code": "US",
            "telephone_number": "419-352-0702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2149 Collingwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436201652",
            "country_code": "US",
            "telephone_number": "419-243-9178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMDEN",
        "first_name": "TONYA",
        "name_prefix": "Miss",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.07000028",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "I.1700464",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236267",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.