Healthcare Provider Details

I. General information

NPI: 1750854907
Provider Name (Legal Business Name): SARAH BALSER LISW, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2019
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1867 W MARKET ST, AKRON, OH 44313
AKRON OH
44313-4431
US

IV. Provider business mailing address

5025 PINE CREEK DR
WESTERVILLE OH
43081-4849
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-2984
  • Fax:
Mailing address:
  • Phone: 419-902-9280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2608473
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1803195
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: