MEDICARE: JENNIFER D HALL HEMINGER 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
1	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker	S.0600271	OH

General Provider Information

NPI Number	:	1821138637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER D HALL HEMINGER LSW

Provider Business Mailing Address
First Line	:	6730 LUDLOW RD
Second Line	:
City	:	CABLE
State	:	OH
Zip	:	43009-9735
Country	:	US
Telephone Number	:	937-653-5583
Fax Number	:	937-653-4787

Provider Business Practice Location Address
First Line	:	3121 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-1306
Country	:	US
Telephone Number	:	614-869-2002
Fax Number	:	614-792-6240

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	06/30/2025

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