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CHARLES LAKE
NPI 1396624714
Case Manager/Care Coordinator in Toledo, OH

Active since August 29, 2025
2345 DORR ST, TOLEDO, OH 43607(419) 407-5342(419) 407-5371 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES LAKE (NPI 1396624714) is an individual case manager/care coordinator provider in Toledo, Ohio, licensed in Ohio (QMHS) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1396624714
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameCHARLES LAKE
Location Address2345 DORR STToledo, OH 43607-3423
Mailing Address2345 Dorr StToledo, OH 43607-3423 · (419) 407-5342 · Fax (419) 407-5371
Phone(419) 407-5342
Fax(419) 407-5371
Sole ProprietorYes
Enumeration DateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1396624714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in OH · QMHS
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2345 DORR ST, Toledo, OH 43607
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLETTA D SLAUGHTER
Social Worker
2345 DORR ST
TOLEDO, OH 43607
Lucas County (419) 407-5342
GREGG THOMAS SMITH
Case Manager/Care Coordinator
2345 DORR ST
TOLEDO, OH 43607
Lucas County (419) 407-5342
SHERONDA DAUGHERTY CDCA
Counselor (Addiction (Substance Use Disorder))
2345 DORR ST
TOLEDO, OH 43607
Lucas County (419) 407-5342
SANITRA LA'NETTE BATTLE
Case Manager/Care Coordinator
2345 DORR ST
TOLEDO, OH 43607
Lucas County (419) 407-5342
ALBERT BELL
Case Manager/Care Coordinator
2345 DORR ST
TOLEDO, OH 43607
Lucas County (419) 407-5342
ZULEMA RODRIGUEZ
Case Manager/Care Coordinator
2345 DORR ST
TOLEDO, OH 43607
Lucas County (419) 407-5342
JAMES DARNELL FOSTER QMHS
Case Manager/Care Coordinator
2345 DORR ST
TOLEDO, OH 43607
Lucas County (419) 407-5342
FELISSA GREEN
Case Manager/Care Coordinator
2345 DORR ST
TOLEDO, OH 43607
Lucas County (419) 407-5342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Lake's NPI number?

The NPI number for Charles Lake is 1396624714. It was assigned to this individual provider in the NPPES registry on August 29, 2025.

Where is Charles Lake located?

Charles Lake practices at 2345 Dorr St, Toledo, OH 43607. The listed phone number is (419) 407-5342.

What is Charles Lake's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Charles Lake was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.