Mrs Mirisa Nicole Castellese, LISW is a medicare enrolled "Social Worker - Clinical" provider in Toledo, Ohio. She graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
2005 Ashland Ave, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 841-7701.
Mrs Mirisa Nicole Castellese is licensed to practice in Ohio (license number I.2507343) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1184130668.
Healthcare Provider's Profile
| Full Name | Mrs Mirisa Nicole Castellese |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 2005 Ashland Ave, Toledo, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Mirisa Nicole Castellese graduated from medical school in 2020
NPI Data:
- NPI Number: 1184130668
- Provider Enumeration Date: 12/20/2017
- Last Update Date: 10/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961995691
- Enrollment ID: I20251202001953
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 |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.165187 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2507343 (Ohio) | Primary |
| 104100000X | Social Worker | S.1904404 (Ohio) | Secondary |
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
enrolled with medicare and thus, if eligible, can 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, LISW
2005 Ashland Ave,
Toledo, OH 43620-1703
Ph: (419) 841-7701 | Mrs Mirisa Nicole Castellese, LISW
2005 Ashland Ave,
Toledo, OH 43620-1703
Ph: (419) 841-7701 |
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