Active NPI
Lydia Jane Elick, LSW, CDCA
- Social Worker
- Maumee, OH
National Provider Identifier
1932769742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2106719
- Practice address
- 1757 Indian Wood Cir
Maumee, OH 43537-4009 - Phone
- (866) 688-6917
- NPI assigned
- Jun 14, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.169902 | OH | |
| Case Manager/Care Coordinator | 171M00000X | CDCA.169902 | OH | |
| Social Worker | 104100000X | S.2106719 | OH | Primary |
Addresses
Primary practice location
1757 Indian Wood Cir
Maumee, OH 43537-4009
Mailing address
1852 Horseshoe Bend Dr
Perrysburg, OH 43551-6922
Phone (419) 309-4081
Other practice location 1
6629 W Central Ave
Toledo, OH 43617-1098
Phone (833) 641-0632
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.2106719 | OH | MD | Social Worker |
| CDCA.169902 | OH | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Growth Counseling Services 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
- NPI 1023776028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1932769742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1852 HORSESHOE BEND DR",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435516922",
"telephone_number": "419-309-4081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1757 INDIAN WOOD CIR",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435374009",
"telephone_number": "866-688-6917"
}
],
"practiceLocations": [
{
"address_1": "6629 W Central Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436171098",
"country_code": "US",
"telephone_number": "833-641-0632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELICK",
"first_name": "LYDIA",
"middle_name": "JANE",
"credential": "LSW, CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.169902",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": "CDCA.169902",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2106719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.