Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. James Derosa, LISW

Individual provider Clinical Social Worker · NPI 1104033562

Mr. James Derosa, LISW is a Clinical Social Worker in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2007
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

3454 Oak Alley Ct Ste 305
Toledo, OH 43606-1306
Phone: (419) 534-2468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I 7195 (OH)

Record details

NPI number1104033562
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorYes
NPI enumeratedMay 16, 2007
Last updated in NPPESJuly 8, 2007

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