Mrs Mirisa Nicole Castellese, LSW, CDCA is a
Social Worker based in Toledo, Ohio. Mrs Mirisa Nicole Castellese is licensed to practice in Ohio (license number S.1904404) and her current practice location is
2005 Ashland Ave, Toledo, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 841-7701.
NPI number for Mrs Mirisa Nicole Castellese is 1184130668 and her current mailing address is 2005 Ashland Ave, Toledo, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184130668.
Healthcare Provider's Profile
| Full Name | Mrs Mirisa Nicole Castellese |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2005 Ashland Ave, Toledo, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184130668
- Provider Enumeration Date: 12/20/2017
- Last Update Date: 09/30/2022
Medical Identifiers
Medical identifiers for Mrs Mirisa Nicole Castellese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184130668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.165187 (Ohio) | Secondary |
| 104100000X | Social Worker | S.1904404 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mirisa Nicole Castellese is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Mirisa Nicole Castellese, LSW, CDCA
2005 Ashland Ave,
Toledo, OH 43620-1703
Ph: (419) 841-7701 | Mrs Mirisa Nicole Castellese, LSW, CDCA
2005 Ashland Ave,
Toledo, OH 43620-1703
Ph: (419) 841-7701 |
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