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

Mrs. Mirisa Nicole Castellese, LISW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184130668

Mrs. Mirisa Nicole Castellese, LISW is a Clinical Social Worker in Toledo, Ohio. Qualified in 2020, 6 years ago. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2017
Specialties on file
3
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

2005 Ashland Ave
Toledo, OH 43620-1703
Phone: (419) 841-7701
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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.2507343 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.165187 (OH)
Social Worker Taxonomy 104100000X · Licence S.1904404 (OH)

Record details

NPI number1184130668
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedDecember 20, 2017
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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