MR. THEODORE FANEUFF (NPI# 1881973360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881973360 |
| Entity Type | Individual |
| Full Name | MR. THEODORE FANEUFF |
| Other Name | MR. THEODORE FANEUFF |
| Credential | MSW,LISW-S, MBA |
| Practice Address |
3335 Meijer Dr Ste 450 Toledo OH 43617-3122 |
| Practice Telephone | 4193240334 |
| Mailing Telephone | 4193240334 |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2016-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | S.1100545 | OH | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1440117.SUPV | OH | Behavioral Health & Social Service Providers |
| Street Address |
3335 MEIJER DR STE 450 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43617-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215583265 | Andrea Demar | Social Worker | 3335 Meijer Dr Ste 450, Toledo, OH 43617-3122 | 2019-08-15 |
| 1235689118 | Nancy Jean Larson | Social Worker | 3335 Meijer Dr Ste 450, Toledo, OH 43617-3122 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541838 | Barbara Futrell | Licensed Practical Nurse | 6629 Central Avenaue, Toledo, OH 43617 | 2020-03-02 |
| 1366917569 | Melissa Malinowski | Counselor | 7540 New West Road, Toledo, OH 43617 | 2018-10-04 |
| 1144716226 | Jessica Torres-garcia | Counselor | 7410 Port Sylvania Dr., Toledo, OH 43617 | 2018-07-02 |
| 1326538703 | Toledo Clinic Incorporated | Clinic/Center | 3330 Meijer Drive, Ste 2, Toledo, OH 43617 | 2018-05-11 |
| 1629570411 | Amy Marie Burgess | Case Manager/Care Coordinator | 6055 W. Central Ave., Toledo, OH 43617 | 2018-03-07 |
| 1760984231 | Stacey Lynn Mclaughlin | Counselor | 6629 Central Avenue, Toledo, OH 43617 | 2018-03-01 |
| 1801396601 | Anne Grady Coporation | Intermediate Care Facility, Mentally Retarded | 3216 Zone Avenue, Toledo, OH 43617 | 2018-02-19 |
| 1982111084 | Synergy Primary Care and Wellness LLC | Internal Medicine | 3230 Central Park W Ste 112, Toledo, OH 43617 | 2018-01-10 |
| 1316483381 | Amy R Mossing | Registered Nurse | 2770 Centennial Rd Bldg 7, Toledo, OH 43617 | 2017-01-13 |
| 1841674736 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2550 King Road, Toledo, OH 43617 | 2015-07-10 |
| Find all providers in zip 43617 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850124 | Dana Santina Pavel | Social Worker | 5134 Adella St, Toledo, OH 43613-2704 | 2020-01-18 |
| 1386287571 | Lynette Crow | Social Worker | 5726 Southwyck Blvd Ste 140, Toledo, OH 43614-1587 | 2019-10-21 |
| 1578033098 | Joseph Gerard Jardine | Social Worker | 1806 Madison Ave, Toledo, OH 43604-5460 | 2018-11-27 |
| 1487136743 | Resource Genie, LLC | Social Worker | 3335 Meijer Dr Ste 150, Toledo, OH 43617-3122 | 2018-09-04 |
| 1235649914 | Cecil Holston II | Social Worker | 2202 Portsmouth Ave, Toledo, OH 43613-4417 | 2017-10-06 |
| 1083133284 | Michael E Wiseman | Social Worker | 463 6th St, Toledo, OH 43605-1701 | 2017-09-19 |
| 1063948974 | Charles W Donaldosn | Social Worker | 1946 N 13th St Ste 230, Toledo, OH 43604-7200 | 2017-05-11 |
| 1871029330 | Sovereign Solutions, LLC | Social Worker | 1455 S Byrne Rd Ste D, Toledo, OH 43614-2316 | 2017-05-03 |
| 1003349911 | Stephanie Cafarelli Doran | Social Worker | 3454 Oak Alley Ct Ste 504, Toledo, OH 43606 | 2017-04-07 |
| 1891226239 | Julia Syring | Social Worker | 2109 Hughes Dr. Jobst Tower, Toledo, OH 43606-0970 | 2017-03-27 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.