MEDICARE: MS. TANYA LENTZ MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	OHI1227	OH

General Provider Information

NPI Number	:	1073540043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TANYA LENTZ MSW

Provider Business Mailing Address
First Line	:	PO BOX 20751
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-0751
Country	:	US
Telephone Number	:	614-481-9053
Fax Number	:

Provider Business Practice Location Address
First Line	:	2790 ALLISTON CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-4216
Country	:	US
Telephone Number	:	614-481-9053
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	09/25/2023

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