MEDICARE: NETTIE RUTH MISTIC LISW

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	104100000X	Social Worker	I.0001796	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	I 0001796	OTHER	OH	LICENSE NUMBER
2	000000387062	OTHER	OH	ANTHEM BCBS

General Provider Information

NPI Number	:	1306819131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NETTIE RUTH MISTIC LISW

Provider Business Mailing Address
First Line	:	131 N EWING ST
Second Line	:	UNIT B
City	:	LANCASTER
State	:	OH
Zip	:	43130-3383
Country	:	US
Telephone Number	:	740-689-6700
Fax Number	:	740-689-6702

Provider Business Practice Location Address
First Line	:	131 N EWING ST
Second Line	:	UNIT B
City	:	LANCASTER
State	:	OH
Zip	:	43130-3383
Country	:	US
Telephone Number	:	740-689-6700
Fax Number	:	740-689-6702

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

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1396721486 — PRADEEP K PANDYA M.D.
Practice Location Address:

131 N EWING ST , UNIT A
LANCASTER, OH
43130-3383

Practice Phone: 740-687-1247
Practice Fax: 740-687-3594

1932172780 — DR. ANGELINE STERGIOU M.D.
Practice Location Address:

131 N EWING ST , UNIT C
LANCASTER, OH
43130-3383

Practice Phone: 740-689-6600
Practice Fax: 740-689-6603

1558334391 — CAROLYN HUDDLE LISW
Practice Location Address:

131 N EWING ST , UNIT B
LANCASTER, OH
43130-3383

Practice Phone: 740-689-6700
Practice Fax: 740-689-6702

1841263688 — NANCY T LIPPHARDT LISW
Practice Location Address:

131 N EWING ST , UNIT B
LANCASTER, OH
43130-3383

Practice Phone: 740-689-6700
Practice Fax: 740-689-6702

1902870447 — RICHARD L HOCKENBERRY LISW
Practice Location Address:

131 N EWING ST , UNIT B
LANCASTER, OH
43130-3383

Practice Phone: 740-689-6700
Practice Fax: 740-689-6702

1548214752 — RIVER VALLEY COUNSELING, LLC
Practice Location Address:

131 N EWING ST , UNIT B
LANCASTER, OH
43130-3383

Practice Phone: 740-689-6700
Practice Fax: 740-689-6702

Directions to “ NETTIE RUTH MISTIC LISW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.