Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mariah Bainbridge , LSW

Social Worker β€’ Toledo, OH

Active NPI 1619644747 Individual Practitioner Female Practitioner
Practice location in NPPES

1425 Starr Ave
Toledo, OH 436052456

Call 4192144673 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1425 Starr Ave

Toledo, OH 436052456

Telephone 4192144673
Organization at the Same NPPES Address or Phone
Unison Behavioral Health Group, Inc. Facility NPI 1952370561

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portage, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Toledo and Ohio

534 active clinicians are listed under Social Worker with a practice address in Toledo, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Toledo

0.7% of these 534 clinicians have the CMS telehealth indicator.

2.6% of these 534 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-20
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S.2208477

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2615030 (OH)
Medicaid ID
1619644747 (OH)

Secondary Practice Locations

349 W Main St.

Portage, OH 43451

Phone: 4197606037

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Dr. Irfan Ahmed , MD

Psychiatry & Neurology - Psychiatry

NPI 1740409333

Doctor of Medicine (M.D.)

Shuvajit Das , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1538837679

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Melody Fryling , LISW

Social Worker - Clinical

NPI 1548698483

Licensed Independent Social Worker

Timothy Kaminski , MSN, CNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1912324252

Master of Science in Nursing, CNPBC

Carol Krieger , PMHCNSBC

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1184818742
Daniel Lau , MSN, CNP

Registered Nurse - Psychiatric/Mental Health

NPI 1225587090

Master of Science in Nursing, Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 20, 2024

Registered at 1425 STARR AVE, TOLEDO, OH 436052456 (Tel: 4192144673)

πŸ“
Updated Business Mailing Address November 20, 2024

Registered at 1425 STARR AVE, TOLEDO, OH 436052456 (Tel: 4192144673)

πŸ‘€
Provider Name / Credentials Updated November 20, 2024

Recorded as MARIAH BAINBRIDGE, LSW

βœ…
NPI Profile Active August 26, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 26, 2021

Registered at 349 W MAIN ST., PORTAGE, OH 43451 (Tel: 4197606037)

πŸ“
Business Mailing Address (Initial Record) August 26, 2021

Registered at 445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 430853192 (Tel: 6148443800)

πŸ‘€
Provider Name / Credentials (Initial Record) August 26, 2021

Recorded as MARIAH BAINBRIDGE, AA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2021

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration August 26, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1619644747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2021
Last Update: November 20, 2024
Sole Proprietor: Yes

Mailing Address

1425 Starr Ave

Toledo, OH 436052456

Phone: 4192144673

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.