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NPI Code Detail

MEDICARE: MS. DULCE HERSHBERGER MSW, LISWS

MEDICARE: MS. DULCE HERSHBERGER MSW, LISWS
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 WorkerI.0900368SOH
2101Y00000XCounselorI.0900368OH

General Provider Information

NPI Number : 1902129125
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DULCE HERSHBERGER MSW, LISWS
Provider Business Mailing Address
First Line : 4937 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1646
Country : US
Telephone Number : 614-619-0403
Fax Number : 614-619-0403
Provider Business Practice Location Address
First Line : 4660 ROBERTS RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-9671
Country : US
Telephone Number : 513-834-7063
Fax Number : 513-873-1567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2010
Last Update Date : 09/24/2019

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