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NPI Code Detail

MEDICARE: MS. PEGGY LYNNE MYERS LISW-S

MEDICARE:  MS. PEGGY LYNNE MYERS  LISW-S
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
11041C0700XClinical Social Worker0904010777VA
2171M00000XCase Manager/Care CoordinatorI0005610OH
3104100000XSocial WorkerI.0005610-SUPVOH

General Provider Information

NPI Number : 1629377387
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PEGGY LYNNE MYERS LISW-S
Provider Business Mailing Address
First Line : 5559 RUSSELL FORK DR
Second Line :
City : DUBLIN
State : OH
Zip : 43016-8326
Country : US
Telephone Number : 614-749-8086
Fax Number :
Provider Business Practice Location Address
First Line : 1890 NORTHWEST BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-1637
Country : US
Telephone Number : 614-397-8926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2011
Last Update Date : 08/08/2025

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Directions to “ MS. PEGGY LYNNE MYERS LISW-S” Practice Location

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