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NPI Code Detail

MEDICARE: MS. RENEE CHRISTINE KLAUTKY PHD CDMS CLCP LSW

MEDICARE: MS. RENEE CHRISTINE KLAUTKY PHD CDMS CLCP LSW
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
1171M00000XCase Manager/Care Coordinator0029282OH
21041C0700XClinical Social Worker0029282OH

General Provider Information

NPI Number : 1659689842
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RENEE CHRISTINE KLAUTKY PHD CDMS CLCP LSW
Provider Business Mailing Address
First Line : 8173 LONG ROAD
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110
Country : US
Telephone Number : 614-633-6895
Fax Number : 855-633-6895
Provider Business Practice Location Address
First Line : 199 S CENTRAL AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43223-1301
Country : US
Telephone Number : 614-276-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2010
Last Update Date : 05/13/2024

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