Active NPI
Jennifer Ann Dubow, MSW LISW
- Social Worker
- Toledo, OH
National Provider Identifier
1982746319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I-004514
- Practice address
- 3540 Secor Road
Suite 305
Toledo, OH 43606 - Phone
- (419) 699-3659
- NPI assigned
- Feb 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I-004514 | OH | Primary |
| Marriage & Family Therapist | 106H00000X | I-004514 | OH |
Addresses
Primary practice location
3540 Secor Road
Suite 305
Toledo, OH 43606
Mailing address
3540 Secor Road
Suite 305
Toledo, OH 43606
Phone (419) 699-3659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MC291700 | Medicaid | OH |
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 |
|---|---|---|---|
| I-004514 | OH | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1982746319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 SECOR ROAD",
"address_2": "SUITE 305",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43606",
"telephone_number": "419-699-3659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 SECOR ROAD",
"address_2": "SUITE 305",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43606",
"telephone_number": "419-699-3659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOW",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSW LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I-004514",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "I-004514",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MC291700",
"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 Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.