Healthcare Provider Details

I. General information

NPI: 1568841450
Provider Name (Legal Business Name): JASON MORING MSW, LSW, LICDC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2015
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 RIVER RD
MAUMEE OH
43537-3637
US

IV. Provider business mailing address

2209 STIRRUP LN APT P8
TOLEDO OH
43613-1679
US

V. Phone/Fax

Practice location:
  • Phone: 419-724-2264
  • Fax:
Mailing address:
  • Phone: 418-360-1167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLICDC.162714
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2106670
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: