MEDICARE: KAITLIN NICOLE POHLMAN

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	I.2405501	OH

General Provider Information

NPI Number	:	1184107443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN NICOLE POHLMAN

Provider Business Mailing Address
First Line	:	800 S DETROIT AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-1910
Country	:	US
Telephone Number	:	419-931-3440
Fax Number	:	419-661-4020

Provider Business Practice Location Address
First Line	:	800 S DETROIT AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-1910
Country	:	US
Telephone Number	:	419-931-3440
Fax Number	:	419-661-4020

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

Provider Enumeration Date	:	09/12/2018
Last Update Date	:	03/28/2025

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