MEDICARE: ALEYSE SWILLING BSSW

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	S.1300359-TRNE	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	S.1300359-TRNE	OTHER	OH	LICENSE

General Provider Information

NPI Number	:	1326463431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEYSE SWILLING BSSW

Provider Business Mailing Address
First Line	:	1490 E. MAIN ST.
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205
Country	:	US
Telephone Number	:	614-252-0731
Fax Number	:

Provider Business Practice Location Address
First Line	:	6047 LAKE CLUB PL
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3156
Country	:	US
Telephone Number	:	614-843-2198
Fax Number	:

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

Provider Enumeration Date	:	02/26/2014
Last Update Date	:	02/26/2014

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