NPIMap

Organization Active NPI

Sylvania Therapy Services LLC

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1932655495
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1440117.SUPV Issued in OH
Legal business name
SYLVANIA THERAPY SERVICES LLC
Practice address
3335 Meijer Dr
Suite 450
Toledo, OH 43617-3104
Phone
(419) 324-0334
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Theodore Timothy Faneuff, LISW-S, MBA
Title
Clinical Therapist/Owner
Phone
(419) 324-0334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I.1440117.SUPV OH Primary

Addresses

Primary practice location

3335 Meijer Dr
Suite 450
Toledo, OH 43617-3104

Mailing address

6911 Kinsman Dr
Sylvania, OH 43560-2875
Phone (419) 304-1104

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1932655495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 KINSMAN DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602875",
            "telephone_number": "419-304-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 MEIJER DR",
            "address_2": "SUITE 450",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436173104",
            "telephone_number": "419-324-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVANIA THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "FANEUFF",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "CLINICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "419-324-0334",
        "authorized_official_credential": "LISW-S, MBA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1440117.SUPV",
            "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 Aug 25, 2016; 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.